Organization Name: | COUNSELING ASSOCIATES OF THE FLINT HILLS |
NPI Number: | 1730580614 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN NOEL MULRYAN (CLINICAL MANAGER) |
Mailing Address: | 221 W Main St Council Grove |
State: | KS US |
Postal Code: | 668461704 |
Phone Number: | 7857090532 |
Fax Number: | 7854823266 |
NPI Enumeration Date: | 09/10/2014 |
NPI Last Update Date: | 09/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1756 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |