Organization
INDIAN CREEK PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH LEE MORRIS ED.D., L.C.P.C. (PRESIDENT)
(913) 636-5657
Entity
Organization
Contact information
Practice address
15022 W 128TH ST, OLATHE, KS 66062-5809
(913) 636-5657
(913) 395-0562
Mailing address
15022 W 128TH ST, OLATHE, KS 66062-5809
(913) 636-5657
(913) 395-0562
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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