Organization
SOLID GROUND COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM LEANNE BOWERS LCPC, LCAC (DIRECTOR)
(620) 364-1415
Entity
Organization
Contact information
Practice address
323 N KENTUCKY ST, IOLA, KS 66749-2529
(620) 228-5392
(620) 380-6178
Mailing address
110 N 3RD ST, BURLINGTON, KS 66839-1353
(620) 364-1415
(620) 364-1915
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
002C003J
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002C003J
KANSAS SUBSTANCE ABUSE FACILITY LICENSE
KS
05
—
201115270A
—
KS
Enumeration date
05/05/2015
Last updated
08/21/2016
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