Provider Demographics
NPI:1144523523
Name:COUNSELING RESOURCES INC.
Entity type:Organization
Organization Name:COUNSELING RESOURCES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:CLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-647-7726
Mailing Address - Street 1:6840 SILVERHEEL ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66226-5300
Mailing Address - Country:US
Mailing Address - Phone:913-647-7726
Mailing Address - Fax:
Practice Address - Street 1:511 SW JACKSON ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66603-3333
Practice Address - Country:US
Practice Address - Phone:785-232-1349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-07
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS06530803261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder