Organization · Type 2 NPI

Avenues for Change

Mental Health Counselor · Great Bend, KS

NPI number 1114630076 Active

Practice location

809 S Patton Rd
Great Bend, KS 67530-4620

Call (620) 796-2206 Map

Fax (866) 288-1782

Mailing address

PO Box 1223
Great Bend, KS 67530-1223

Other practice locations

2029 Vanesta Pl, Manhattan, KS 66503-0447 · (620) 796-2206

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

10 other providers at this address

Other mental health counselor providers in Great Bend

Healing Hearts RanchMental Health Counselor Great Bend, KS NPI 1316464217

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NPI record

NPI: 1114630076
Entity type: Organization (Type 2)
Issued: Jan 5, 2023
Last updated: Apr 14, 2024
Status: Active

Other names

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Avenues for Change · former legal business name
Avenues for Change · former legal business name

Authorized official

Kelley Johnson, LCPC-S, LCAC
President
(620) 796-2206

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About NPI 1114630076

Avenues for Change's National Provider Identifier is 1114630076, issued on Jan 5, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Great Bend, KS. The record was last updated on Apr 14, 2024.