Organization
PSYCHE IN MOTION, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARI MAHINAY-CHRISTENSEN ARNP (PRESIDENT)
(785) 840-9261
Entity
Organization
Contact information
Practice address
641 MISSOURI ST, LAWRENCE, KS 66044-2353
(785) 840-9261
(785) 840-9261
Mailing address
641 MISSOURI ST, LAWRENCE, KS 66044-2353
(785) 840-9261
(785) 840-9261
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
74729
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171004
BCBSKS BILLING PROVIDER
KS
Enumeration date
06/04/2006
Last updated
08/22/2007
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