Provider Demographics
NPI:1164074290
Name:ENCOUNTER BEHAVIORAL HEALTH & COUNSELING CENTER LLC
Entity Type:Organization
Organization Name:ENCOUNTER BEHAVIORAL HEALTH & COUNSELING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:MACHUTTA
Authorized Official - Suffix:I
Authorized Official - Credentials:LAC
Authorized Official - Phone:316-641-7698
Mailing Address - Street 1:1401 W 31ST ST S
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67217-2536
Mailing Address - Country:US
Mailing Address - Phone:316-641-7698
Mailing Address - Fax:
Practice Address - Street 1:1401 W 31ST ST S
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67217-2536
Practice Address - Country:US
Practice Address - Phone:316-641-7698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)