Provider / Organization | NPI | Date Certified |
---|---|---|
ANITA LOUISE BOOKOUT | 1306055306 | 2024-04-07 |
Anita Louise Bookout is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1306055306. Registration indicates Anita Louise Bookout is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers)
Entity Type | Individual |
Provider Name | Anita Louise Bookout LMSW |
Practice Office Address | 2118 N TYLER RD BUILDING B SUITE 100 WICHITA, KS US |
Practice Office Telephone | 3166700382 |
Mailing Address | 2118 N TYLER RD BUILDING B SUITE 100 WICHITA, KS 672124912 US |
Business Telephone | 3166700382 |
Code | Practice | License No State |
---|---|---|
104100000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker Behavioral Health/Substance Abuse/Psychiatry Social Worker Behavioral Health & Social Service Providers | 5689
KS |