Organization
KANZA MENTAL HEALTH AND GUIDANCE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY D PERSINGER JR. (CEO)
(785) 742-7113
Entity
Organization
Contact information
Practice address
909 S 2ND ST, HIAWATHA, KS 66434-2774
(785) 742-7113
(785) 742-3085
Mailing address
909 SOUTH 2ND STREET, PO BOX 319, HIAWATHA, KS 66434-0319
(785) 742-7113
(785) 742-3085
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
013
KS
103T00000X
Psychologist
013
KS
104100000X
Social Worker
Primary
013
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097950A
—
KS
05
—
100097950B
—
KS
05
—
100097950C
—
KS
05
—
100097950D
—
KS
Enumeration date
07/07/2006
Last updated
08/30/2011
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