Organization · Type 2 NPI

Countryside Counseling Center, LLC

Community/Behavioral Health Agency · Independence, KS

NPI number 1104100833 Active

Practice location

601 Morningside Dr
Independence, KS 67301-1932

Fax (620) 577-4956

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X103T00000X (KS)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1104100833

Countryside Counseling Center, LLC's National Provider Identifier is 1104100833, issued on Sep 29, 2011. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Independence, KS. The record was last updated on Sep 29, 2011.