Provider Demographics
NPI:1689350308
Name:BESIDES MENTAL HEALTH SERVICES
Entity Type:Organization
Organization Name:BESIDES MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:
Authorized Official - First Name:LOYCE
Authorized Official - Middle Name:KERUBO
Authorized Official - Last Name:SIRIBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-548-1252
Mailing Address - Street 1:13830 SANTA FE TRAIL DR STE 109
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-3381
Mailing Address - Country:US
Mailing Address - Phone:913-398-0220
Mailing Address - Fax:
Practice Address - Street 1:13830 SANTA FE TRAIL DR
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-3310
Practice Address - Country:US
Practice Address - Phone:913-398-0220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health