| Heartland Psychotherapy Llc | |
|
217 Southwind Pl Ste 101 Manhattan KS 66503-3159 | |
| (785) 770-5225 | |
| Not Available |
| Full Name | Heartland Psychotherapy Llc |
|---|---|
| Speciality | Psychologist |
| Location | 217 Southwind Pl Ste 101, Manhattan, Kansas |
| Authorized Official Name and Position | Shari Kay Lagrange-aulich (LICENSED CLINICAL PSYCHOTHERAPIST) |
| Authorized Official Contact | 7857705225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Psychotherapy Llc Po Box 324 Riley KS 66531-0324 Ph: (785) 770-5225 | Heartland Psychotherapy Llc 217 Southwind Pl Ste 101 Manhattan KS 66503-3159 Ph: (785) 770-5225 |
| NPI Number | 1780268946 |
|---|---|
| Provider Enumeration Date | 05/12/2021 |
| Last Update Date | 05/12/2021 |
| Certification Date | 05/12/2021 |
| Medicare PECOS PAC ID | 1052703923 |
|---|---|
| Medicare Enrollment ID | O20220126003167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780268946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Shari K Lagrange-aulich |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1134669955 PECOS PAC ID: 6204111446 Enrollment ID: I20170330000890 |
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