| Sunflower Psychological Llc | |
|
5201 Johnson Dr Ste 210 Mission KS 66205-2920 | |
| (913) 313-2044 | |
| Not Available |
| Full Name | Sunflower Psychological Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5201 Johnson Dr Ste 210, Mission, Kansas |
| Authorized Official Name and Position | Cheryl R Graves (OWNER) |
| Authorized Official Contact | 9133132044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunflower Psychological Llc 6701 Reeds Rd Overland Park KS 66204-1538 Ph: (913) 313-2044 | Sunflower Psychological Llc 5201 Johnson Dr Ste 210 Mission KS 66205-2920 Ph: (913) 313-2044 |
| NPI Number | 1942783535 |
|---|---|
| Provider Enumeration Date | 09/11/2018 |
| Last Update Date | 09/11/2018 |
| Medicare PECOS PAC ID | 4789011859 |
|---|---|
| Medicare Enrollment ID | O20240305002946 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942783535 | NPI | - | NPPES |
| 1902059249 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cheryl Reimal Graves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902059249 PECOS PAC ID: 8628336609 Enrollment ID: I20180119001221 |
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