Provider Demographics
NPI:1609082940
Name:EPISCOPAL SOCIAL SERVICES, INC.
Entity Type:Organization
Organization Name:EPISCOPAL SOCIAL SERVICES, INC.
Other - Org Name:BREAKTHROUGH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ANDRES
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, PHD
Authorized Official - Phone:316-269-4160
Mailing Address - Street 1:PO BOX 670
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67201-0670
Mailing Address - Country:US
Mailing Address - Phone:316-269-4160
Mailing Address - Fax:316-269-3550
Practice Address - Street 1:1010 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-3609
Practice Address - Country:US
Practice Address - Phone:316-269-4160
Practice Address - Fax:316-269-3550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty