| Mind & Body Healing Collective, Llc | |
|
3203 Charlotte Ln Lawrence KS 66047-3914 | |
| (785) 917-9473 | |
| Not Available |
| Full Name | Mind & Body Healing Collective, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3203 Charlotte Ln, Lawrence, Kansas |
| Authorized Official Name and Position | Maisie Riley (MANAGER) |
| Authorized Official Contact | 7853936167 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind & Body Healing Collective, Llc 3203 Charlotte Ln Lawrence KS 66047-3914 Ph: (785) 917-9473 | Mind & Body Healing Collective, Llc 3203 Charlotte Ln Lawrence KS 66047-3914 Ph: (785) 917-9473 |
| NPI Number | 1568196459 |
|---|---|
| Provider Enumeration Date | 07/15/2022 |
| Last Update Date | 07/15/2022 |
| Certification Date | 07/15/2022 |
| Medicare PECOS PAC ID | 7416326962 |
|---|---|
| Medicare Enrollment ID | O20221206001209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568196459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Robin L Burgess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235162496 PECOS PAC ID: 7012985815 Enrollment ID: I20040920000865 |
| Provider Name | Linda M Hoopes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427128974 PECOS PAC ID: 5395844179 Enrollment ID: I20070619000622 |
| Provider Name | Anissa R Pfannenstiel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134305303 PECOS PAC ID: 8729167598 Enrollment ID: I20160323002364 |
| Provider Name | Tychelle S Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104232875 PECOS PAC ID: 8022378389 Enrollment ID: I20180205002725 |
| Provider Name | Stephanie A Krom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336575232 PECOS PAC ID: 2860729688 Enrollment ID: I20190815003260 |
| Provider Name | Aliuwa Abali |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720324791 PECOS PAC ID: 8628463593 Enrollment ID: I20220314000167 |
| Provider Name | Katie Lauren Brandau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558063651 PECOS PAC ID: 0446625750 Enrollment ID: I20230418001597 |
| Provider Name | Susan Elizabeth Weimer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497916985 PECOS PAC ID: 7517323785 Enrollment ID: I20230512000696 |
| Provider Name | Ashley Estrada |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720591266 PECOS PAC ID: 2264885656 Enrollment ID: I20240201002899 |
| Provider Name | Brittny Jordan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518234988 PECOS PAC ID: 9739524679 Enrollment ID: I20240229004345 |
| Provider Name | Shannon Conover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598382129 PECOS PAC ID: 0244676781 Enrollment ID: I20240307000549 |
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Denise Parker-timms, Lscsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 708 W 9th St Ste 212, Lawrence, KS 66044 Phone: 785-218-3022 | |
K N Rials Therapy And Consulting Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4808 W 24th St, Lawrence, KS 66047 Phone: 785-766-3587 Fax: 866-610-4817 | |
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