EATING DISORDER TREATMENT ASSOCIATES, LLC


Address: 12140 Nall Avenue, Suite 315, Overland Park, KS 66209
Phone: 6158616000

EATING DISORDER TREATMENT ASSOCIATES, LLC (NPI# 1568827905) 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) 1568827905
Entity Type Organization
Organization Name EATING DISORDER TREATMENT ASSOCIATES, LLC
Other Organization Name MCCALLUM PLACE
Practice Address 12140 Nall Avenue
Suite 315
Overland Park
KS 66209
Mailing Address 6100 Tower Circle
Suite 1000
Franklin
TN 37067
Practice Telephone 6158616000
Mailing Telephone 6158616000
Enumeration Date 2015-12-30
Last Update Date 2015-12-30
Authorized Official Name CHRISTOPHER L HOWARD (VP & SECRETARY)
Authorized Official Telephone 6158616000
Is Organization Subpart Y
Parent Organization Name ACADIA HEALTHCARE COMPANY, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
McCallum Place Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1164891966 Eating Disorder Treatment Associates, LLC Clinic/Center 12140 Nall Ave, Suite 315, Overland Park, KS 66209-2503 2015-09-22

Office Location

Street Address 12140 NALL AVENUE
SUITE 315
City OVERLAND PARK
State KS
Zip Code 66209

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265900286 Kansas Wellness Associates LLC Family Medicine 4300 W 133rd Street, Suite 200, Leawood, KS 66209 2018-11-07
1740781871 Courtney Collins Physical Therapy Assistant 6830 W. 121st. Ct, Overland Park, KS 66209 2018-02-23
1295246015 Meredith Meyer Bell Nurse Practitioner 5064 W 130th Terrace, Leawood, KS 66209 2017-10-19
1740712223 Margaret Alice Luckert Registered Nurse 5701 W 119th Street Suite 220, Overland Park, KS 66209 2017-04-03
1609311133 Kansas City Community Hospital, LLC General Acute Care Hospital 13200 State Line Road, Leawood, KS 66209 2016-12-19
1316492499 Christy Vopat Occupational Therapist 4952 W. 129 Th Terr, Leawood, KS 66209 2016-08-18
1861846594 Paige Aberasturi Penick Nutritionist 6709 W 119th St # 207, Overland Park, KS 66209 2016-04-19
1689056483 Michael Hauber Physical Therapist 12728 State Line Rd, Leawood, KS 66209 2015-06-29
1033597000 Brooke J Heppner Mft Marriage & Family Therapist 6711 W. 121st Street, Suite 101, Overland Park, KS 66209 2015-05-11
1811393978 Jessica Mcroberts Pharmacist 12122 Stateline Rd, Leawood, KS 66209 2014-11-17
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1619313665 Vcphcs Xiv, LLC Clinic/Center 6331 W. 110th Street, Overland Park, KS 66211 2013-05-17
1902425408 Families, LLC Clinic/Center 9401 Indian Creek Pkwy Ste 520, Overland Park, KS 66210-2013 2020-04-14
1972155299 Wasson Psychological Associates LLC Clinic/Center 8700 Indian Creek Pkwy Ste 270, Overland Park, KS 66210-1527 2019-07-16
1871068171 Jennifer Reed Np Clinic/Center 6901 Shawnee Mission Pkwy Ste 216, Suite 216, Overland Park, KS 66202-4005 2018-10-12
1932624905 Grace & Grit Counseling LLC Clinic/Center 6811 Shawnee Mission Pkwy Ste 310, Overland Park, KS 66202-4088 2017-08-10
1164891966 Eating Disorder Treatment Associates, LLC Clinic/Center 12140 Nall Ave, Suite 315, Overland Park, KS 66209-2503 2015-09-22
1164802666 Mccallum Place Clinic/Center 12140 Nall Ave, Suite 315, Overland Park, KS 66209-2503 2015-06-01
1376828525 Asap Expert Counseling LLC Clinic/Center 9250 Glenwood St, Overland Park, KS 66212-1365 2011-10-19
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Competitor

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City OVERLAND PARK
Zip Code 66209

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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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