| Aspire Ict, Llc | |
|
8406 W Maple St Wichita KS 67209-1470 | |
| (316) 347-7171 | |
| (316) 462-0920 |
| Full Name | Aspire Ict, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 8406 W Maple St, Wichita, Kansas |
| Authorized Official Name and Position | Alicia Rose Landrum (OWNER) |
| Authorized Official Contact | 3163477171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Ict, Llc 8406 W. Maple St. Wichita KS 67209-1470 Ph: (316) 347-7171 | Aspire Ict, Llc 8406 W Maple St Wichita KS 67209-1470 Ph: (316) 347-7171 |
| NPI Number | 1902356181 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 04/15/2024 |
| Certification Date | 04/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902356181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 073 (Kansas) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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