| Stone & Bush Homes, Llc; And Therapeutic Services | |
|
751 E 63rd St Ste 212 Kansas City MO 64110-3372 | |
| (913) 707-3240 | |
| (816) 281-9622 |
| Full Name | Stone & Bush Homes, Llc; And Therapeutic Services |
|---|---|
| Speciality | Social Worker |
| Location | 751 E 63rd St Ste 212, Kansas City, Missouri |
| Authorized Official Name and Position | Tina B Stone (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9137073240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone & Bush Homes, Llc; And Therapeutic Services Po Box 3443 Olathe KS 66063-3443 Ph: (913) 707-3240 | Stone & Bush Homes, Llc; And Therapeutic Services 751 E 63rd St Ste 212 Kansas City MO 64110-3372 Ph: (913) 707-3240 |
| NPI Number | 1184141202 |
|---|---|
| Provider Enumeration Date | 08/29/2017 |
| Last Update Date | 01/10/2022 |
| Certification Date | 01/10/2022 |
| Medicare PECOS PAC ID | 1456626753 |
|---|---|
| Medicare Enrollment ID | O20190712000880 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184141202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 004988 (Missouri) | Primary |
| Provider Name | Tina Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154362226 PECOS PAC ID: 2365717667 Enrollment ID: I20190712001035 |
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