| Hope Harbor Therapy Llc | |
|
104 S 4th St Ste 206 Manhattan KS 66502-6957 | |
| (785) 347-5036 | |
| (785) 414-5458 |
| Full Name | Hope Harbor Therapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 104 S 4th St Ste 206, Manhattan, Kansas |
| Authorized Official Name and Position | Laura Schachtner Hutter (OWNER AND THERAPIST) |
| Authorized Official Contact | 7853475036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Harbor Therapy Llc 104 S 4th St Ste 206 Manhattan KS 66502-6957 Ph: (785) 347-5036 | Hope Harbor Therapy Llc 104 S 4th St Ste 206 Manhattan KS 66502-6957 Ph: (785) 347-5036 |
| NPI Number | 1881450286 |
|---|---|
| Provider Enumeration Date | 02/23/2024 |
| Last Update Date | 02/23/2024 |
| Certification Date | 02/23/2024 |
| Medicare PECOS PAC ID | 0143661983 |
|---|---|
| Medicare Enrollment ID | O20240510002980 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881450286 | NPI | - | NPPES |
| 1245750272 | Other | KS | NPI 1 |
| 03031 | Other | KS | KANSAS BSRB |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Laura Hutter |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245750272 PECOS PAC ID: 1759721665 Enrollment ID: I20240425002093 |
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