| Connection Therapy | |
|
309 Happy Hollow St Vermillion KS 66544-8633 | |
| (303) 507-3131 | |
| Not Available |
| Full Name | Connection Therapy |
|---|---|
| Speciality | Psychologist |
| Location | 309 Happy Hollow St, Vermillion, Kansas |
| Authorized Official Name and Position | Brenda L Murrow (OWNER) |
| Authorized Official Contact | 3035073131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connection Therapy 309 Happy Hollow St Vermillion KS 66544-8633 Ph: (303) 507-3131 | Connection Therapy 309 Happy Hollow St Vermillion KS 66544-8633 Ph: (303) 507-3131 |
| NPI Number | 1295232015 |
|---|---|
| Provider Enumeration Date | 04/09/2018 |
| Last Update Date | 04/09/2018 |
| Medicare PECOS PAC ID | 3971841693 |
|---|---|
| Medicare Enrollment ID | O20190205001231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295232015 | NPI | - | NPPES |
| 201129860A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2533 (Kansas) | Primary |
| Provider Name | Brenda L Murrow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205261542 PECOS PAC ID: 9638438302 Enrollment ID: I20180126000041 |
| Provider Name | Cassandra J Gaddis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962778803 PECOS PAC ID: 5294123444 Enrollment ID: I20211021000664 |
| Provider Name | Carson Tyler Gentry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578174850 PECOS PAC ID: 9032550033 Enrollment ID: I20240508001593 |