Provider Demographics
NPI:1205972825
Name:DREAM CATCHERS TCM LLC
Entity type:Organization
Organization Name:DREAM CATCHERS TCM LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:MAY
Authorized Official - Last Name:ZINK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-273-3630
Mailing Address - Street 1:4123 SW TWILIGHT DR
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-3403
Mailing Address - Country:US
Mailing Address - Phone:785-273-3630
Mailing Address - Fax:785-273-1665
Practice Address - Street 1:4123 SW TWILIGHT DR
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-3403
Practice Address - Country:US
Practice Address - Phone:785-273-3630
Practice Address - Fax:785-273-1665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS200266860A251B00000X
KS251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200266860AOtherPROVIDER NUMBER
KS200266860AMedicaid