| Outbloom Therapy Services Llc | |
|
10100 W Maple St Ste 102 Wichita KS 67209-3148 | |
| (316) 295-3495 | |
| (316) 867-1769 |
| Full Name | Outbloom Therapy Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10100 W Maple St Ste 102, Wichita, Kansas |
| Authorized Official Name and Position | Ericka Jobe (CLINICIAN/OWNER) |
| Authorized Official Contact | 3162953495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outbloom Therapy Services Llc 10100 W Maple St Ste 102 Wichita KS 67209-3148 Ph: (316) 295-3495 | Outbloom Therapy Services Llc 10100 W Maple St Ste 102 Wichita KS 67209-3148 Ph: (316) 295-3495 |
| NPI Number | 1518784495 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518784495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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