| Catholic Charities, Inc | |
|
439 N Mclean Blvd Ste 101 Wichita KS 67203-5914 | |
| (316) 263-6941 | |
| (316) 263-5259 |
| Full Name | Catholic Charities, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 439 N Mclean Blvd Ste 101, Wichita, Kansas |
| Authorized Official Name and Position | Tara Story (OFFICE MANAGER / BILLING SPECIALIST) |
| Authorized Official Contact | 3162020082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities, Inc 437 N Topeka St Wichita KS 67208 Ph: (316) 264-8344 | Catholic Charities, Inc 439 N Mclean Blvd Ste 101 Wichita KS 67203-5914 Ph: (316) 263-6941 |
| NPI Number | 1386857340 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 07/02/2024 |
| Certification Date | 07/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386857340 | NPI | - | NPPES |
| 1386857340 | Medicaid | KS | |
| 1386857340 | Other | KS | NPI |
| 30003913250001 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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