| Family Therapy Institute Midwest | |
|
2619 W. 6th Street, Suite C Lawrence KS 66049 | |
| (785) 830-8299 | |
| (785) 749-2581 |
| Full Name | Family Therapy Institute Midwest |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 2619 W. 6th Street, Suite C, Lawrence, Kansas |
| Authorized Official Name and Position | Mary Lu Egidy (OWNER) |
| Authorized Official Contact | 7858308299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Therapy Institute Midwest 2619 W. 6th Street, Suite C Lawrence KS 66049 Ph: (785) 830-8299 | Family Therapy Institute Midwest 2619 W. 6th Street, Suite C Lawrence KS 66049 Ph: (785) 830-8299 |
| NPI Number | 1306872064 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 11/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306872064 | NPI | - | NPPES |
| 100389740A | Medicaid | KS | |
| 100353150A | Medicaid | KS | |
| 100353230A | Medicaid | KS | |
| 100297790C | Medicaid | KS |
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