# THE RAINBOW CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568108983
- **Authorized official:** DR. EMILY ANN WALTERS MD (OWNER)
- **Authorized official phone:** (585) 754-5949

## Contact information

- **Practice address:** 313 N BROADWAY ST, PITTSBURG, KS 66762-4806
- **Practice address phone:** (620) 263-0487
- **Practice address fax:** (585) 299-9713
- **Mailing address:** 313 N BROADWAY ST, PITTSBURG, KS 66762-4806
- **Mailing address phone:** (620) 263-0487
- **Mailing address fax:** (585) 299-9713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/09/2022
- **Last updated:** 05/09/2022