| Empowered To Live Counseling Center | |
|
5321 Shadowridge Ct Wichita KS 67220-4260 | |
| (316) 204-9571 | |
| (316) 765-0105 |
| Full Name | Empowered To Live Counseling Center |
|---|---|
| Speciality | Social Worker |
| Location | 5321 Shadowridge Ct, Wichita, Kansas |
| Authorized Official Name and Position | Janice M Parks (PROVIDER/ ONWER) |
| Authorized Official Contact | 3162049571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered To Live Counseling Center 5321 Shadowridge Ct Wichita KS 67220-4260 Ph: (316) 204-9571 | Empowered To Live Counseling Center 5321 Shadowridge Ct Wichita KS 67220-4260 Ph: (316) 204-9571 |
| NPI Number | 1285024190 |
|---|---|
| Provider Enumeration Date | 01/30/2015 |
| Last Update Date | 01/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285024190 | NPI | - | NPPES |
| 8614 | Other | KS | STATE OF KANSAS BEHAVORIAL SCIENCES REGULATORY BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 8614 (Kansas) | Primary |
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