| Comprehensive Behavioral Health Center, Llc | |
|
10 Plaza Dr Liberal KS 67901-2743 | |
| (620) 417-5230 | |
| (620) 624-5227 |
| Full Name | Comprehensive Behavioral Health Center, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 10 Plaza Dr, Liberal, Kansas |
| Authorized Official Name and Position | Maria Lauralynn Noblejas (LICENSED CLINICAL PSYCHOLOGY) |
| Authorized Official Contact | 6204175230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Behavioral Health Center, Llc 10 Plaza Dr Liberal KS 67901-2743 Ph: (620) 417-5230 | Comprehensive Behavioral Health Center, Llc 10 Plaza Dr Liberal KS 67901-2743 Ph: (620) 417-5230 |
| NPI Number | 1902176530 |
|---|---|
| Provider Enumeration Date | 01/12/2012 |
| Last Update Date | 01/12/2012 |
| Medicare PECOS PAC ID | 8729247549 |
|---|---|
| Medicare Enrollment ID | O20120313000930 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902176530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1316 (Kansas) | Primary |
| Provider Name | Maria Lauralynn Noblejas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851498513 PECOS PAC ID: 2062441306 Enrollment ID: I20050808000521 |
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