Provider Demographics
NPI:1073548368
Name:CHRISTIAN PSYCHOLOGICAL SERVICES OF LAWRENCE AND TOPEKA INCORPORATED
Entity Type:Organization
Organization Name:CHRISTIAN PSYCHOLOGICAL SERVICES OF LAWRENCE AND TOPEKA INCORPORATED
Other - Org Name:CHRISTIAN PSYCHOLOGICAL SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARACHTINGI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:785-843-2429
Mailing Address - Street 1:3510 CLINTON PL
Mailing Address - Street 2:SUITE 320
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66047-2178
Mailing Address - Country:US
Mailing Address - Phone:785-843-2429
Mailing Address - Fax:785-843-7386
Practice Address - Street 1:3510 CLINTON PL
Practice Address - Street 2:SUITE 320
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66047-2178
Practice Address - Country:US
Practice Address - Phone:785-843-2429
Practice Address - Fax:785-843-7386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS004512Medicare PIN