| Deeply Rooted Therapy Llc | |
|
500 N Main St Ste 156 Newton KS 67114-2211 | |
| (316) 833-7924 | |
| Not Available |
| Full Name | Deeply Rooted Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 500 N Main St Ste 156, Newton, Kansas |
| Authorized Official Name and Position | Avery Vogts (OWNER) |
| Authorized Official Contact | 3168337924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deeply Rooted Therapy Llc 500 N Main St Ste 156 Newton KS 67114-2211 Ph: (316) 833-7924 | Deeply Rooted Therapy Llc 500 N Main St Ste 156 Newton KS 67114-2211 Ph: (316) 833-7924 |
| NPI Number | 1275176653 |
|---|---|
| Provider Enumeration Date | 10/18/2019 |
| Last Update Date | 10/03/2023 |
| Certification Date | 10/03/2023 |
| Medicare PECOS PAC ID | 7012352461 |
|---|---|
| Medicare Enrollment ID | O20240910003977 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275176653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Avery Vogts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376198150 PECOS PAC ID: 1658714316 Enrollment ID: I20240910004651 |
Newton Healthcare Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Medical Center Dr, Newton, KS 67114 Phone: 316-283-2700 | |
Ohalloran Play Therapy & Family Growth Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 W 6th St, Suite 140, Newton, KS 67114 Phone: 316-283-1142 Fax: 316-283-1142 | |