| Lakeside Academy | |
|
24401 W Macarthur Rd Goddard KS 67052-8713 | |
| (316) 794-2760 | |
| Not Available |
| Full Name | Lakeside Academy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 24401 W Macarthur Rd, Goddard, Kansas |
| Authorized Official Name and Position | Grayson Harcourt (BUSINESS OFFICE DIRECTOR) |
| Authorized Official Contact | 5128589900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Academy 4207 E Highway 290 Dripping Springs TX 78620-4206 Ph: (512) 858-9900 | Lakeside Academy 24401 W Macarthur Rd Goddard KS 67052-8713 Ph: (316) 794-2760 |
| NPI Number | 1972761013 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972761013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Larry L Lee, Lscsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1440 Tapestry Ln, Goddard, KS 67052 Phone: 316-734-5670 Fax: 316-550-6380 | |
Lakeside Academy Of Kansas Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24401 W Macarthur Rd, Goddard, KS 67052 Phone: 316-794-2760 Fax: 316-794-2773 |