| Teresa Paterson Bartch | |
|
12351 W 96th Ter Ste 105 Lenexa KS 66215-4410 | |
| (913) 257-3161 | |
| (888) 965-8977 |
| Full Name | Teresa Paterson Bartch |
|---|---|
| Speciality | Counselor |
| Location | 12351 W 96th Ter Ste 105, Lenexa, Kansas |
| Authorized Official Name and Position | Teresa Paterson Bartch (OWNER) |
| Authorized Official Contact | 9132573161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa Paterson Bartch 12351 W 96th Ter Ste 105 Lenexa KS 66215-4410 Ph: (913) 257-3161 | Teresa Paterson Bartch 12351 W 96th Ter Ste 105 Lenexa KS 66215-4410 Ph: (913) 257-3161 |
| NPI Number | 1356794671 |
|---|---|
| Provider Enumeration Date | 07/21/2016 |
| Last Update Date | 01/19/2021 |
| Certification Date | 01/19/2021 |
| Medicare PECOS PAC ID | 2365856770 |
|---|---|
| Medicare Enrollment ID | O20210126002848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356794671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2606 (Kansas) | Secondary |
| 101YP2500X | Counselor - Professional | 2014015305 (Missouri) | Primary |
| Provider Name | Lauren Msw Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528353240 PECOS PAC ID: 1355574047 Enrollment ID: I20210128001110 |
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