Aacf Therapy Center
Organization Active NPI Community/Behavioral Health Agency · Lawrence, KS
NPI 1295021590 · NPPES record last updated Aug 5, 2011
Key facts
- NPI
- 1295021590
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 3796 (KS)
- Legal business name
- AACF THERAPY CENTER
- Practice address
- 719 Massachusetts St
Suite 115
Lawrence, KS 66044-2345 - Phone
- (785) 840-0374
- Fax
- (785) 842-4025
- NPI assigned
- Jun 24, 2011
- Organization subpart
- No
Authorized official
- Name
- Ms. Kathy S Wright, LSCSW
- Title
- Director
- Phone
- (785) 840-0374
Practitioners 1
-
Katherine Sue Blevins, LSCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110809000830 | KS | Part B Supplier - Clinic/Group Practice | 2365611209 |
Receives reassigned benefits from 1 practitioner Practice locations: Lawrence, KS |
National Provider Directory
Locations
4105 W 6th St
Ste B10
Lawrence, KS 66049
Phone (785) 840-0374
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 3796 | KS | Yes |
Addresses
Primary practice location
719 Massachusetts St
Suite 115
Lawrence, KS 66044-2345
Mailing address
719 Massachusetts St
Suite 115
Lawrence, KS 66044-2345
Phone (785) 840-0374
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200439620B | Medicaid | KS |
Other providers in Lawrence, KS
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All providers in Lawrence, KS · Community/Behavioral Health Agency in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.