Mended Hearts Counseling, Llc | |
1005 N Buckeye Ave Abilene KS 67410-1940 | |
(785) 341-7931 | |
Not Available |
Full Name | Mended Hearts Counseling, Llc |
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Speciality | Social Worker |
Location | 1005 N Buckeye Ave, Abilene, Kansas |
Authorized Official Name and Position | Debby Dimmitt (OWNER) |
Authorized Official Contact | 7853417931 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mended Hearts Counseling, Llc 202 Nw 10th St Apt 3 Abilene KS 67410-2307 Ph: (785) 341-7931 | Mended Hearts Counseling, Llc 1005 N Buckeye Ave Abilene KS 67410-1940 Ph: (785) 341-7931 |
NPI Number | 1457898751 |
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Provider Enumeration Date | 01/24/2017 |
Last Update Date | 01/24/2017 |
Medicare PECOS PAC ID | 1759708605 |
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Medicare Enrollment ID | O20200824003287 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457898751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 4131 (Kansas) | Primary |
Provider Name | Deborah D Ponton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053565481 PECOS PAC ID: 1052571288 Enrollment ID: I20120327000188 |
Provider Name | Kendall N Runnebaum |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033446596 PECOS PAC ID: 3577784503 Enrollment ID: I20170217001236 |
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