| Hope Light Counseling Services Llc | |
|
9 W 5th Ave Emporia KS 66801-4035 | |
| (620) 481-6036 | |
| (620) 208-6145 |
| Full Name | Hope Light Counseling Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 9 W 5th Ave, Emporia, Kansas |
| Authorized Official Name and Position | Cynthia Kaye Maxwell (OWNER) |
| Authorized Official Contact | 6204816036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Light Counseling Services Llc 9 W 5th Ave Emporia KS 66801-4035 Ph: (620) 481-6036 | Hope Light Counseling Services Llc 9 W 5th Ave Emporia KS 66801-4035 Ph: (620) 481-6036 |
| NPI Number | 1174997589 |
|---|---|
| Provider Enumeration Date | 11/23/2015 |
| Last Update Date | 11/23/2015 |
| Medicare PECOS PAC ID | 1456652080 |
|---|---|
| Medicare Enrollment ID | O20151223001200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174997589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3975 (Kansas) | Primary |
| Provider Name | Cynthia Kaye Maxwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053473249 PECOS PAC ID: 2365743994 Enrollment ID: I20151223001259 |
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