GLENDA RODGERS-LAWLESS, PH.D., LCPC, PA


Address: 4601 E Douglas, Wichita, KS 67218
Phone: 3163375530

GLENDA RODGERS-LAWLESS, PH.D., LCPC, PA (NPI# 1053660142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053660142
Entity Type Organization
Organization Name GLENDA RODGERS-LAWLESS, PH.D., LCPC, PA
Practice Address 4601 E Douglas
Wichita
KS 67218
Practice Telephone 3163375530
Practice Fax Number 3163375531
Mailing Telephone 3163375530
Mailing Fax Number 3163375531
Enumeration Date 2012-09-05
Last Update Date 2012-09-05
Authorized Official Name GLENDA S RODGERS-LAWLESS (OWNER/CEO)
Authorized Official Telephone 9135537858
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health LCPC 275 KS Agencies

Other Provider Identifier

State Issuer Identifier Type Code
KS 200428700A 05

Office Location

Street Address 4601 E DOUGLAS
City WICHITA
State KS
Zip Code 67218

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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1912437278 Chrysalis Center, Inc Community/Behavioral Health 1717 E 13th St N, Wichita, KS 67214-1701 2017-06-19
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1326411455 Agape Bhh Addiction Treatment Center Community/Behavioral Health 928 S Broadway St Ste M-9, Wichita, KS 67211-2229 2015-11-11
1427439546 Mental Health Association of Sck Community/Behavioral Health 555 N Woodlawn, S 3105, Wichita, KS 67208 2015-06-15
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Competitor

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City WICHITA
Zip Code 67218

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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