| Organization Name: | TAPESTRY PSYCHIATRIC SERVICES LLC |
| NPI Number: | 1316300239 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIFFANY BURROWS (CREDENTIALING) |
| Mailing Address: | 529 N Lincoln Ave Liberal |
| State: | KS US |
| Postal Code: | 679013309 |
| Phone Number: | 6204173106 |
| Fax Number: | 6206244050 |
| NPI Enumeration Date: | 03/29/2016 |
| NPI Last Update Date: | 03/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 76030 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |