1780327627 NPI number — CONNECTIONS CHLID AND FAMILY THERAPY

Table of content: (NPI 1780327627)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780327627 NPI number — CONNECTIONS CHLID AND FAMILY THERAPY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CONNECTIONS CHLID AND FAMILY THERAPY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780327627
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/19/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5508 CHAMNEY CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAWRENCE
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66049-5033
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-764-0631
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2500 W 6TH ST STE F
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAWRENCE
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66049-2401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-330-5688
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/19/2022

Additional Information

Authorized Official

Authorized Official Last Name:
RAMSAY
Authorized Official First Name:
MARCI
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
785-764-0631

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 104100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1794996817 , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200860740A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com