| Brummell Counseling, Llc | |
|
1505 Kasold Dr Ste 3 Lawrence KS 66047-1601 | |
| (785) 341-7474 | |
| Not Available |
| Full Name | Brummell Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1505 Kasold Dr Ste 3, Lawrence, Kansas |
| Authorized Official Name and Position | Samantha Brummell (THERAPIST/OWNDER) |
| Authorized Official Contact | 7853417474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brummell Counseling, Llc 1505 Kasold Dr Ste 3 Lawrence KS 66047-1601 Ph: (785) 341-7474 | Brummell Counseling, Llc 1505 Kasold Dr Ste 3 Lawrence KS 66047-1601 Ph: (785) 341-7474 |
| NPI Number | 1578262580 |
|---|---|
| Provider Enumeration Date | 02/28/2023 |
| Last Update Date | 06/28/2023 |
| Certification Date | 06/28/2023 |
| Medicare PECOS PAC ID | 7810361110 |
|---|---|
| Medicare Enrollment ID | O20230329000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578262580 | NPI | - | NPPES |
| 1174084545 | Other | KS | LSCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Samantha Brummell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174084545 PECOS PAC ID: 5496097628 Enrollment ID: I20190508001809 |
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