Organization
A CONSCIOUS PEACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J CANNADY (MANAGING EMPLOYEE)
(913) 353-9020
Entity
Organization
Contact information
Practice address
22450 S HARRISON ST, SPRING HILL, KS 66083-3151
(913) 353-9020
Mailing address
917 N SUMAC ST, OLATHE, KS 66061-5976
(913) 353-9020
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4406
KANSAS BEHAVIORAL SCIENCE REGULATORY BOARD
KS
Enumeration date
06/11/2020
Last updated
06/26/2020
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