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 |
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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 |
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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 |
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Provider Enumeration Date | 01/12/2012 |
Last Update Date | 01/12/2012 |
Medicare PECOS PAC ID | 8729247549 |
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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 |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1851498513 PECOS PAC ID: 2062441306 Enrollment ID: I20050808000521 |
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