| Goldfinch Therapy And Wellness Llc | |
|
100 S Market St Ste 2a Wichita KS 67202 | |
| (316) 361-0662 | |
| (844) 766-7540 |
| Full Name | Goldfinch Therapy And Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 100 S Market St Ste 2a, Wichita, Kansas |
| Authorized Official Name and Position | Andrea Lynn Kasper-doggett (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 3166197604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goldfinch Therapy And Wellness Llc 100 S Market St Ste 2a Wichita KS 67202-3824 Ph: (316) 361-0662 | Goldfinch Therapy And Wellness Llc 100 S Market St Ste 2a Wichita KS 67202 Ph: (316) 361-0662 |
| NPI Number | 1396305835 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 01/24/2020 |
| Certification Date | 01/24/2020 |
| Medicare PECOS PAC ID | 1456689751 |
|---|---|
| Medicare Enrollment ID | O20190824000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396305835 | NPI | - | NPPES |
| 200965900D | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Andrea L Kasper Doggett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386992691 PECOS PAC ID: 8224343363 Enrollment ID: I20150818005195 |
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