| Coffee Talk Counseling | |
|
21 Plaza Dr Ste 7 Liberal KS 67901-2791 | |
| (575) 708-0202 | |
| Not Available |
| Full Name | Coffee Talk Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 21 Plaza Dr Ste 7, Liberal, Kansas |
| Authorized Official Name and Position | Cara Ann Payton (OWNER OF BUSINESS) |
| Authorized Official Contact | 5757080202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coffee Talk Counseling 430 Quail Cir Turpin OK 73950-2046 Ph: (575) 708-0202 | Coffee Talk Counseling 21 Plaza Dr Ste 7 Liberal KS 67901-2791 Ph: (575) 708-0202 |
| NPI Number | 1477294791 |
|---|---|
| Provider Enumeration Date | 04/02/2022 |
| Last Update Date | 04/02/2022 |
| Certification Date | 04/01/2022 |
| Medicare PECOS PAC ID | 4981081718 |
|---|---|
| Medicare Enrollment ID | O20220517003073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477294791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cara A Payton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558023259 PECOS PAC ID: 2163809997 Enrollment ID: I20220517003071 |
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