| Emerging Roots Counseling Llc | |
|
731 N Mclean Blvd Wichita KS 67203-4986 | |
| (316) 751-8554 | |
| Not Available |
| Full Name | Emerging Roots Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 731 N Mclean Blvd, Wichita, Kansas |
| Authorized Official Name and Position | Tierra Giscelle Smith (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 3167518554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerging Roots Counseling Llc 8918 W 21st N., Ste 200 #197 Wichita KS 67205 Ph: (316) 751-8554 | Emerging Roots Counseling Llc 731 N Mclean Blvd Wichita KS 67203-4986 Ph: (316) 751-8554 |
| NPI Number | 1659159192 |
|---|---|
| Provider Enumeration Date | 09/18/2023 |
| Last Update Date | 10/05/2023 |
| Certification Date | 10/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659159192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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