| Gabrielle Sunderland, Llc | |
|
11940 W Central Ave Ste 118 Wichita KS 67212-5180 | |
| (316) 371-5686 | |
| Not Available |
| Full Name | Gabrielle Sunderland, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11940 W Central Ave Ste 118, Wichita, Kansas |
| Authorized Official Name and Position | Gabrielle Sunderland (THERAPIST) |
| Authorized Official Contact | 3163715686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gabrielle Sunderland, Llc Po Box 246 Garden Plain KS 67050-0246 Ph: (316) 371-5686 | Gabrielle Sunderland, Llc 11940 W Central Ave Ste 118 Wichita KS 67212-5180 Ph: (316) 371-5686 |
| NPI Number | 1689416661 |
|---|---|
| Provider Enumeration Date | 06/10/2024 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689416661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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