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Contact Information

DERBY EMOTIONAL WELLNESS
1721 E OSAGE
SUITE 300
DERBY, KS67037-2290
 Phone: 316-788-1907
 Fax: 316-788-1941
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for DERBY EMOTIONAL WELLNESS

NPI Number 1275777328
LBN Legal business name DERBY EMOTIONAL WELLNESS
Authorized official ALICIA MYERS-LANDSVERK - (PHD, LSCSW)
Entity Organization
Organization subpart 1 No
Enumeration date 04/20/2009
Last updated 06/04/2010 - About 16 years ago
Identifiers
KS License # 1527
KS License # 4695
KS License # 74173
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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