| Cristin Stice Consulting, Llc | |
|
13829 Grove Ave Bonner Springs KS 66012-9685 | |
| (913) 205-2486 | |
| Not Available |
| Full Name | Cristin Stice Consulting, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 13829 Grove Ave, Bonner Springs, Kansas |
| Authorized Official Name and Position | Cristin L. Stice (SOLE MEMBER) |
| Authorized Official Contact | 9132052486 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cristin Stice Consulting, Llc 13829 Grove Ave Bonner Springs KS 66012-9685 Ph: (913) 205-2486 | Cristin Stice Consulting, Llc 13829 Grove Ave Bonner Springs KS 66012-9685 Ph: (913) 205-2486 |
| NPI Number | 1528657632 |
|---|---|
| Provider Enumeration Date | 01/13/2021 |
| Last Update Date | 01/13/2021 |
| Certification Date | 01/13/2021 |
| Medicare PECOS PAC ID | 3577976356 |
|---|---|
| Medicare Enrollment ID | O20210115002204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528657632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cristin L Stice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154977734 PECOS PAC ID: 9335470004 Enrollment ID: I20191010000742 |
| Provider Name | Marian G Swartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699312611 PECOS PAC ID: 7719311364 Enrollment ID: I20200107002251 |
| Provider Name | Jessica E Thornburg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871133132 PECOS PAC ID: 2860829462 Enrollment ID: I20200220001037 |
| Provider Name | Jefferson Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902525405 PECOS PAC ID: 8325424435 Enrollment ID: I20220927002351 |
| Provider Name | Tara Turpin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487169355 PECOS PAC ID: 0446627731 Enrollment ID: I20221028001585 |
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