| Eagle Recovery Services & Consultation | |
|
5 S Peoria St Suite 206 Louisburg KS 66053-4084 | |
| (913) 837-4919 | |
| (913) 837-4923 |
| Full Name | Eagle Recovery Services & Consultation |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5 S Peoria St, Louisburg, Kansas |
| Authorized Official Name and Position | Susan Gayle White (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9138374919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Recovery Services & Consultation 5 S Peoria St Suite 206 Louisburg KS 66053-4084 Ph: (913) 837-4919 | Eagle Recovery Services & Consultation 5 S Peoria St Suite 206 Louisburg KS 66053-4084 Ph: (913) 837-4919 |
| NPI Number | 1750506945 |
|---|---|
| Provider Enumeration Date | 04/15/2007 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750506945 | NPI | - | NPPES |
| 200305900A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 584 (Kansas) | Primary |
Head To Heart Integrative Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 S Rogers Rd, Louisburg, KS 66053 Phone: 913-735-9073 Fax: 913-937-4434 |