| Pershall Psychotherapy, Llc | |
|
5040 Sw 28th St Suite C Topeka KS 66614-2302 | |
| (785) 383-1949 | |
| Not Available |
| Full Name | Pershall Psychotherapy, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5040 Sw 28th St, Topeka, Kansas |
| Authorized Official Name and Position | Staci Pershall (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7853831949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pershall Psychotherapy, Llc 104 Sw Woodlawn Ave Topeka KS 66606-1241 Ph: (785) 383-1949 | Pershall Psychotherapy, Llc 5040 Sw 28th St Suite C Topeka KS 66614-2302 Ph: (785) 383-1949 |
| NPI Number | 1699213934 |
|---|---|
| Provider Enumeration Date | 02/07/2017 |
| Last Update Date | 03/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699213934 | NPI | - | NPPES |
| 1881033488 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4594 (Kansas) | Primary |
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