Provider Demographics
NPI:1598898116
Name:GRACE CONNECTIONS MENTAL HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:GRACE CONNECTIONS MENTAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:G
Authorized Official - Last Name:WEYRENS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:785-267-6227
Mailing Address - Street 1:2231 SW WANAMAKER RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-4275
Mailing Address - Country:US
Mailing Address - Phone:785-267-6227
Mailing Address - Fax:785-267-7309
Practice Address - Street 1:2231 SW WANAMAKER RD
Practice Address - Street 2:SUITE 201
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-4275
Practice Address - Country:US
Practice Address - Phone:785-267-6227
Practice Address - Fax:785-267-7309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS252852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty