Provider Demographics
NPI:1225783731
Name:EMMA ALHEZAYEN INC
Entity Type:Organization
Organization Name:EMMA ALHEZAYEN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED SPECIALIST CLINICAL SOCIAL
Authorized Official - Prefix:
Authorized Official - First Name:LAMA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALHEZAYEN
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:785-501-5682
Mailing Address - Street 1:4751 SW 17TH TER
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-3513
Mailing Address - Country:US
Mailing Address - Phone:785-501-5682
Mailing Address - Fax:
Practice Address - Street 1:3649 SW BURLINGAME RD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66611-2051
Practice Address - Country:US
Practice Address - Phone:785-266-6751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty