Gateway Of Hope Minisitries Inc | |
801 N. Murlen Suite 111 Olathe KS 66062 | |
(913) 393-4283 | |
(913) 951-4595 |
Full Name | Gateway Of Hope Minisitries Inc |
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Speciality | Counselor |
Location | 801 N. Murlen Suite 111, Olathe, Kansas |
Authorized Official Name and Position | Dacia Moore (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9133934283 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gateway Of Hope Minisitries Inc 801 N. Murlen Suite 111 Olathe KS 66062 Ph: (913) 393-4283 | Gateway Of Hope Minisitries Inc 801 N. Murlen Suite 111 Olathe KS 66062 Ph: (913) 393-4283 |
NPI Number | 1326505256 |
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Provider Enumeration Date | 02/27/2019 |
Last Update Date | 06/25/2019 |
Medicare PECOS PAC ID | 7911339817 |
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Medicare Enrollment ID | O20191114001878 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326505256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101Y00000X | Counselor | (* (Not Available)) | Primary |
Provider Name | Marcia A Simoneau |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013924307 PECOS PAC ID: 5092846501 Enrollment ID: I20100628000560 |
Provider Name | Jennifer Darling |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366506636 PECOS PAC ID: 5395754493 Enrollment ID: I20200804001024 |
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