Provider Demographics
NPI:1922780733
Name:CLIENT CENTERED CARE PSYCHIATRIC MEDICATION SERVICES LLC
Entity Type:Organization
Organization Name:CLIENT CENTERED CARE PSYCHIATRIC MEDICATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC MENTAL HEALTH APRN
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:LAYNE
Authorized Official - Last Name:HUXMAN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:316-842-3115
Mailing Address - Street 1:PO BOX 700
Mailing Address - Street 2:
Mailing Address - City:HESSTON
Mailing Address - State:KS
Mailing Address - Zip Code:67062-0700
Mailing Address - Country:US
Mailing Address - Phone:316-842-3115
Mailing Address - Fax:
Practice Address - Street 1:500 N MAIN ST STE 210
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67114-2211
Practice Address - Country:US
Practice Address - Phone:620-386-6522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)