Winston, Tristen Diane
Winston, Tristen Diane is an individual health care provider with primary practice located at 407 S Clairborne Rd Ste 104 , Olathe KS 66062-1744. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Winston, Tristen Diane can be contacted via phone (913) 648-2266.Contact Information
Primary practice address
407 S Clairborne Rd Ste 104
Olathe KS 66062-1744
Phone: (913) 648-2266
Fax: (855) 348-3430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCAC702 | Kansas |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 28438 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2487 | Kansas |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2021027885 | Missouri |
Profile Details
| NPI number | 1770936619 |
|---|---|
| LBN Legal business name | Winston, Tristen Diane |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2016 |
| Last updated | Sep 2nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770936619 | NPPES |
| Kansas | MEDICAID | 201218600A |
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