Organization
BELLATORE RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN OELKLAUS (OWNER)
(913) 908-6786
Entity
Organization
Contact information
Practice address
16979 W 94TH ST SUITE D, LENEXA, KS 66219
(913) 725-0095
Mailing address
16979 W 94TH ST SUITE D, LENEXA, KS 66219
(913) 725-0095
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
921
KS
1041C0700X
Clinical Social Worker
Primary
2432
KS
1041C0700X
Clinical Social Worker
5751
KS
133V00000X
Registered Dietitian
813812
KS
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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