Provider Demographics
NPI:1518672617
Name:INFIN8E COUNSELING CONNECTIONS LLC
Entity Type:Organization
Organization Name:INFIN8E COUNSELING CONNECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LSCSW
Authorized Official - Prefix:
Authorized Official - First Name:HENRIETTA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SLAFFEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:785-226-4403
Mailing Address - Street 1:409 POYNTZ AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-6607
Mailing Address - Country:US
Mailing Address - Phone:785-226-4403
Mailing Address - Fax:844-464-0796
Practice Address - Street 1:409 POYNTZ AVE STE 105
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-6607
Practice Address - Country:US
Practice Address - Phone:785-226-4403
Practice Address - Fax:844-464-0796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS30004020240001Medicaid