| Expressive Arts Therapy Kc Llc | |
|
2108 W 75th St Ste E Prairie Village KS 66208-3504 | |
| (913) 318-4318 | |
| Not Available |
| Full Name | Expressive Arts Therapy Kc Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2108 W 75th St Ste E, Prairie Village, Kansas |
| Authorized Official Name and Position | Julia Vering (OWNER) |
| Authorized Official Contact | 9133184318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Expressive Arts Therapy Kc Llc 7919 W 54th Ter Mission KS 66202-1135 Ph: (816) 695-6838 | Expressive Arts Therapy Kc Llc 2108 W 75th St Ste E Prairie Village KS 66208-3504 Ph: (913) 318-4318 |
| NPI Number | 1386388916 |
|---|---|
| Provider Enumeration Date | 04/20/2022 |
| Last Update Date | 04/20/2022 |
| Certification Date | 04/20/2022 |
| Medicare PECOS PAC ID | 9436546462 |
|---|---|
| Medicare Enrollment ID | O20220421002191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386388916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Julia A Vering |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518533900 PECOS PAC ID: 6507266186 Enrollment ID: I20210618002141 |
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