| Holistic Psychiatric Services | |
|
1871 W 21st St N Wichita KS 67203-2104 | |
| (316) 832-0277 | |
| (316) 838-5658 |
| Full Name | Holistic Psychiatric Services |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1871 W 21st St N, Wichita, Kansas |
| Authorized Official Name and Position | Achutha Nagireddy Reddy (OWNER) |
| Authorized Official Contact | 3168320277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Psychiatric Services 1871 W 21st St N Wichita KS 67203-2104 Ph: (316) 832-0277 | Holistic Psychiatric Services 1871 W 21st St N Wichita KS 67203-2104 Ph: (316) 832-0277 |
| NPI Number | 1780800326 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 04/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780800326 | NPI | - | NPPES |
| 100427030D | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 04-28376 (Kansas) | Primary |
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