Provider Demographics
NPI:1023354552
Name:HEARTLAND HEALTHCARE CONSULTANTS, INC.
Entity type:Organization
Organization Name:HEARTLAND HEALTHCARE CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:FEEBACK
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:620-212-5082
Mailing Address - Street 1:PO BOX 13
Mailing Address - Street 2:
Mailing Address - City:CHANUTE
Mailing Address - State:KS
Mailing Address - Zip Code:66720-0013
Mailing Address - Country:US
Mailing Address - Phone:620-212-5082
Mailing Address - Fax:
Practice Address - Street 1:1017 S TENNESSEE AVE
Practice Address - Street 2:
Practice Address - City:CHANUTE
Practice Address - State:KS
Practice Address - Zip Code:66720-2663
Practice Address - Country:US
Practice Address - Phone:620-212-5082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-03
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS41921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty