| Wellspring Counseling & Consultation | |
|
1623 Poyntz Ave Manhattan KS 66502-4148 | |
| (785) 380-7833 | |
| Not Available |
| Full Name | Wellspring Counseling & Consultation |
|---|---|
| Speciality | Social Worker |
| Location | 1623 Poyntz Ave, Manhattan, Kansas |
| Authorized Official Name and Position | Daffney Kubler-hoffman (OWNER) |
| Authorized Official Contact | 2542914183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Counseling & Consultation 3940 Golden Eagle Dr Manhattan KS 66502-1488 Ph: (254) 291-4183 | Wellspring Counseling & Consultation 1623 Poyntz Ave Manhattan KS 66502-4148 Ph: (785) 380-7833 |
| NPI Number | 1336722792 |
|---|---|
| Provider Enumeration Date | 05/04/2021 |
| Last Update Date | 05/04/2021 |
| Certification Date | 05/04/2021 |
| Medicare PECOS PAC ID | 8022483932 |
|---|---|
| Medicare Enrollment ID | O20230406001630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336722792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Daffney Kubler-hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306032479 PECOS PAC ID: 5991160897 Enrollment ID: I20230428000218 |
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