# SEQUEL OF KANSAS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeside Academy of Kansas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811327950
- **Authorized official:** MARY CAUDLE (SENIOR DIRECTOR OF PATIENT ACCOUNTS)
- **Authorized official phone:** (256) 880-3339

## Contact information

- **Practice address:** 24401 W MACARTHUR RD, GODDARD, KS 67052-8713
- **Practice address phone:** (316) 794-2760
- **Practice address fax:** (316) 794-2773
- **Mailing address:** 24401 W MACARTHUR RD, P.O. BOX 429, GODDARD, KS 67052-8713
- **Mailing address phone:** (316) 794-2760
- **Mailing address fax:** (316) 794-2773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 0063040-008 | KS | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 11/26/2013
- **Last updated:** 09/10/2021