Organization
DERBY EMOTIONAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA ANN MYERS-LANDSVERK LSCSW (PHD, LSCSW)
(316) 788-1907
Entity
Organization
Contact information
Practice address
1721 E OSAGE, SUITE 300, DERBY, KS 67037-2290
(316) 788-1907
(316) 788-1941
Mailing address
1721 E OSAGE, SUITE 300, DERBY, KS 67037-2290
(316) 788-1907
(316) 788-1941
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1527
KS
104100000X
Social Worker
4695
KS
1041C0700X
Clinical Social Worker
1527
KS
163WP0808X
Psychiatric/Mental Health Registered Nurse
74173
KS
Other
Enumeration date
04/20/2009
Last updated
06/04/2010
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