Provider Demographics
NPI:1245717826
Name:DBT CENTER OF LAWRENCE AND KANSAS CITY LLC
Entity type:Organization
Organization Name:DBT CENTER OF LAWRENCE AND KANSAS CITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUHIGG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-424-7770
Mailing Address - Street 1:1307 MASSACHUSETTS ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-3431
Mailing Address - Country:US
Mailing Address - Phone:785-424-7770
Mailing Address - Fax:833-527-8323
Practice Address - Street 1:1307 MASSACHUSETTS ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-3431
Practice Address - Country:US
Practice Address - Phone:785-424-7770
Practice Address - Fax:855-527-8323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-26
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2810101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS30004605360001Medicaid
KS1093730111Medicaid
KS1225436314Medicaid
KS1144697137Medicaid
KS1851811756Medicaid
KS1609324680Medicaid