| Detweiler Counseling Services, Inc. | |
|
901 Kentucky St Suite 306 Lawrence KS 66044-2823 | |
| (785) 841-0262 | |
| (785) 840-0709 |
| Full Name | Detweiler Counseling Services, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 901 Kentucky St, Lawrence, Kansas |
| Authorized Official Name and Position | Dennis Lee Detweiler (OWNER) |
| Authorized Official Contact | 7858410262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Detweiler Counseling Services, Inc. 901 Kentucky St Suite 306 Lawrence KS 66044-2823 Ph: (785) 841-0262 | Detweiler Counseling Services, Inc. 901 Kentucky St Suite 306 Lawrence KS 66044-2823 Ph: (785) 841-0262 |
| NPI Number | 1821298258 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 11/16/2015 |
| Medicare PECOS PAC ID | 0941215297 |
|---|---|
| Medicare Enrollment ID | O20060208000400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821298258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LSCSW-1602 (Kansas) | Primary |
| Provider Name | Dennis Lee Detweiler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184603516 PECOS PAC ID: 2466467725 Enrollment ID: I20060209000142 |
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