| Repacked Counseling Llc | |
|
1412 S 16th St Leavenworth KS 66048-2915 | |
| (913) 388-9143 | |
| Not Available |
| Full Name | Repacked Counseling Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1412 S 16th St, Leavenworth, Kansas |
| Authorized Official Name and Position | Susan Marie Kerr (OWNER/COUNSELOR) |
| Authorized Official Contact | 9133889143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Repacked Counseling Llc 1412 S 16th St Leavenworth KS 66048-2915 Ph: (913) 388-9143 | Repacked Counseling Llc 1412 S 16th St Leavenworth KS 66048-2915 Ph: (913) 388-9143 |
| NPI Number | 1093471443 |
|---|---|
| Provider Enumeration Date | 11/10/2021 |
| Last Update Date | 11/10/2021 |
| Certification Date | 11/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093471443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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