Provider Demographics
NPI:1972829182
Name:FIRST CHRISTIAN CHURCH COUNSELING CENTER
Entity type:Organization
Organization Name:FIRST CHRISTIAN CHURCH COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RIK
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSPAW
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:316-788-5503
Mailing Address - Street 1:201 N DERBY AVE
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:KS
Mailing Address - Zip Code:67037-1713
Mailing Address - Country:US
Mailing Address - Phone:316-788-5503
Mailing Address - Fax:316-788-5551
Practice Address - Street 1:201 N DERBY AVE
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:KS
Practice Address - Zip Code:67037-1713
Practice Address - Country:US
Practice Address - Phone:316-788-5503
Practice Address - Fax:316-788-5551
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRST CHRISTIAN CHURCH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-13
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS7072104100000X
KS923106H00000X
KS921106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty