| Sunflower Counseling Center Llc | |
|
205 S 5th St Ste 15 Leavenworth KS 66048 | |
| (913) 683-5028 | |
| Not Available |
| Full Name | Sunflower Counseling Center Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 205 S 5th St Ste 15, Leavenworth, Kansas |
| Authorized Official Name and Position | Insoon G. Hoagland (ADMINISTRATOR) |
| Authorized Official Contact | 9136835028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunflower Counseling Center Llc 33825 199th St Easton KS 66020-7305 Ph: (913) 683-5028 | Sunflower Counseling Center Llc 205 S 5th St Ste 15 Leavenworth KS 66048 Ph: (913) 683-5028 |
| NPI Number | 1558865782 |
|---|---|
| Provider Enumeration Date | 03/21/2018 |
| Last Update Date | 08/14/2018 |
| Medicare PECOS PAC ID | 7113368309 |
|---|---|
| Medicare Enrollment ID | O20240520001059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558865782 | NPI | - | NPPES |
| 627094 | Other | TRICARE-WEST |
| Provider Name | Insoon Hoagland |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578062824 PECOS PAC ID: 4082156849 Enrollment ID: I20240607001301 |
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