| Light Path Mental Health Services Llc | |
|
5025 E Kellogg Dr Wichita KS 67218-1500 | |
| (316) 806-9887 | |
| Not Available |
| Full Name | Light Path Mental Health Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5025 E Kellogg Dr, Wichita, Kansas |
| Authorized Official Name and Position | Deanna Ecklund (DIRECTOR) |
| Authorized Official Contact | 3163902977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Light Path Mental Health Services Llc 5025 E Kellogg Dr Wichita KS 67218-1500 Ph: (316) 390-2977 | Light Path Mental Health Services Llc 5025 E Kellogg Dr Wichita KS 67218-1500 Ph: (316) 806-9887 |
| NPI Number | 1760216451 |
|---|---|
| Provider Enumeration Date | 08/27/2024 |
| Last Update Date | 08/29/2025 |
| Certification Date | 08/29/2025 |
| Medicare PECOS PAC ID | 1254862717 |
|---|---|
| Medicare Enrollment ID | O20241008002585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760216451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Deanna M Ecklund |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396160628 PECOS PAC ID: 0042618001 Enrollment ID: I20211006001771 |
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