Organization
HEALING HEARTS RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLEY JOHNSON LCPC (CLINICAL DIRECTOR)
(620) 792-5173
Entity
Organization
Contact information
Practice address
155 SE 1 AVE, GREAT BEND, KS 67530-9696
(620) 792-5173
(888) 389-9946
Mailing address
155 SE 1 AVE, GREAT BEND, KS 67530-9696
(620) 792-5173
(888) 389-9946
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/23/2017
Last updated
07/21/2022
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