| Ktaylor Therapy And Supervision Llc | |
|
767 Ash St Lawrence KS 66044-5521 | |
| (785) 330-3123 | |
| Not Available |
| Full Name | Ktaylor Therapy And Supervision Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 767 Ash St, Lawrence, Kansas |
| Authorized Official Name and Position | Kelsey Taylor (THERAPIST) |
| Authorized Official Contact | 7853303123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ktaylor Therapy And Supervision Llc Po Box 1237 Lawrence KS 66044-8237 Ph: (785) 330-3123 | Ktaylor Therapy And Supervision Llc 767 Ash St Lawrence KS 66044-5521 Ph: (785) 330-3123 |
| NPI Number | 1609613181 |
|---|---|
| Provider Enumeration Date | 07/11/2024 |
| Last Update Date | 07/11/2024 |
| Certification Date | 07/11/2024 |
| Medicare PECOS PAC ID | 5496294019 |
|---|---|
| Medicare Enrollment ID | O20240827004537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609613181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kelsey Rae Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730729005 PECOS PAC ID: 1456767193 Enrollment ID: I20210304001351 |
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