| Prairie Village Behavioral Health | |
|
26431 W 109th Ter Olathe KS 66061-8779 | |
| (785) 266-0031 | |
| (785) 266-4225 |
| Full Name | Prairie Village Behavioral Health |
|---|---|
| Speciality | Psychologist |
| Location | 26431 W 109th Ter, Olathe, Kansas |
| Authorized Official Name and Position | Kim Weaver (BILLING MANAGER) |
| Authorized Official Contact | 7852660031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Village Behavioral Health Po Box 3905 Lawrence KS 66046-0905 Ph: (785) 266-0031 | Prairie Village Behavioral Health 26431 W 109th Ter Olathe KS 66061-8779 Ph: (785) 266-0031 |
| NPI Number | 1821252255 |
|---|---|
| Provider Enumeration Date | 07/15/2008 |
| Last Update Date | 12/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821252255 | NPI | - | NPPES |
| 25212023 | Other | MO | BCBS OF KANSAS CITY |
| 119010 | Other | KS | BCBS OF KANSAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 0294 (Kansas) | Primary |
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