Organization
CHANGING TIMES 2020 VISION LLC
Active
Other names
Changing Times
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY CLEMETSON (DIRECTOR OF BILLING)
(913) 475-7713
Entity
Organization
Contact information
Practice address
2601 ANDERSON AVE STE 202, MANHATTAN, KS 66502-2809
(785) 422-3049
(785) 214-5018
Mailing address
2601 ANDERSON AVE STE 207, MANHATTAN, KS 66502-2809
(785) 422-3049
(785) 214-5018
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84-4065311
BEHAVIORAL HEALTH
—
Enumeration date
01/07/2020
Last updated
04/23/2024
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