| Jenkins Behavioral Consulting, Llc | |
|
825 E 1259 Rd Lawrence KS 66047-9201 | |
| (307) 677-3791 | |
| Not Available |
| Full Name | Jenkins Behavioral Consulting, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 825 E 1259 Rd, Lawrence, Kansas |
| Authorized Official Name and Position | Melissa Leeann Jenkins (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3076773791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenkins Behavioral Consulting, Llc 825 E 1259 Rd Lawrence KS 66047-9201 Ph: (307) 677-3791 | Jenkins Behavioral Consulting, Llc 825 E 1259 Rd Lawrence KS 66047-9201 Ph: (307) 677-3791 |
| NPI Number | 1831805092 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/30/2023 |
| Medicare PECOS PAC ID | 9638543614 |
|---|---|
| Medicare Enrollment ID | O20230314001389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831805092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melissa Leeann Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952536120 PECOS PAC ID: 3779732672 Enrollment ID: I20230316000940 |
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