| Authentic Living Counseling | |
|
7939 Sw 163rd St Augusta KS 67010-8690 | |
| (360) 899-8577 | |
| Not Available |
| Full Name | Authentic Living Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 7939 Sw 163rd St, Augusta, Kansas |
| Authorized Official Name and Position | Heidi Trumble (OWNER/THERAPIST) |
| Authorized Official Contact | 3608998577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Living Counseling 7939 Sw 163rd St Augusta KS 67010-8690 Ph: (360) 899-8577 | Authentic Living Counseling 7939 Sw 163rd St Augusta KS 67010-8690 Ph: (360) 899-8577 |
| NPI Number | 1235919192 |
|---|---|
| Provider Enumeration Date | 09/28/2023 |
| Last Update Date | 09/28/2023 |
| Medicare PECOS PAC ID | 6406203017 |
|---|---|
| Medicare Enrollment ID | O20231103000386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235919192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Heidi Trumble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396062436 PECOS PAC ID: 2062680036 Enrollment ID: I20231103000415 |
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