| Meadowlark Counseling, Llc | |
|
1 N Main St Ste 416 Hutchinson KS 67501-5250 | |
| (620) 960-7414 | |
| (888) 516-0964 |
| Full Name | Meadowlark Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1 N Main St Ste 416, Hutchinson, Kansas |
| Authorized Official Name and Position | Kevin R Martin Nisly (THERAPIST) |
| Authorized Official Contact | 6209607414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meadowlark Counseling, Llc Po Box 51 Arlington KS 67514-0051 Ph: (620) 960-7414 | Meadowlark Counseling, Llc 1 N Main St Ste 416 Hutchinson KS 67501-5250 Ph: (620) 960-7414 |
| NPI Number | 1316569643 |
|---|---|
| Provider Enumeration Date | 05/08/2020 |
| Last Update Date | 03/15/2024 |
| Certification Date | 03/15/2024 |
| Medicare PECOS PAC ID | 3072934850 |
|---|---|
| Medicare Enrollment ID | O20200603000868 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316569643 | NPI | - | NPPES |
| 200452020G | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kevin R Martin Nisly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407952278 PECOS PAC ID: 5698858314 Enrollment ID: I20080218000654 |
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