| T4 Therapy | |
|
1904 Beekman Pl Abilene KS 67410-1551 | |
| (785) 210-7707 | |
| Not Available |
| Full Name | T4 Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 1904 Beekman Pl, Abilene, Kansas |
| Authorized Official Name and Position | Tara Ann Fields (OWNER, CEO) |
| Authorized Official Contact | 7852107707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| T4 Therapy 1904 Beekman Pl Abilene KS 67410-1551 Ph: () - | T4 Therapy 1904 Beekman Pl Abilene KS 67410-1551 Ph: (785) 210-7707 |
| NPI Number | 1386215218 |
|---|---|
| Provider Enumeration Date | 07/01/2021 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Medicare PECOS PAC ID | 3678977857 |
|---|---|
| Medicare Enrollment ID | O20210810002766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386215218 | NPI | - | NPPES |
| 1386215218 | Other | KS | TYPE 2 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tara A Fields |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609221803 PECOS PAC ID: 2365785755 Enrollment ID: I20190529001038 |
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