Psu, Llc | |
851 Nw 45th St Ste 104 Kansas City MO 64116-4613 | |
(317) 418-9149 | |
(816) 883-8274 |
Full Name | Psu, Llc |
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Speciality | Counselor |
Location | 851 Nw 45th St Ste 104, Kansas City, Missouri |
Authorized Official Name and Position | A Monique Burns (OWNER / CLINICAL THERAPIST) |
Authorized Official Contact | 3174189149 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Psu, Llc 851 Nw 45th St Ste 104 Kansas City MO 64116-4613 Ph: (317) 418-9149 | Psu, Llc 851 Nw 45th St Ste 104 Kansas City MO 64116-4613 Ph: (317) 418-9149 |
NPI Number | 1407373715 |
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Provider Enumeration Date | 08/28/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 7618242082 |
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Medicare Enrollment ID | O20171011001232 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407373715 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 2017023471 (Missouri) | Primary |
Provider Name | A Monique Burns |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861730368 PECOS PAC ID: 8527384437 Enrollment ID: I20171011001532 |
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