| 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 |