| Sunheart Holistic, Llc | |
|
200 N Broadway Ave Ste 535 Wichita KS 67202 | |
| (316) 282-4985 | |
| Not Available |
| Full Name | Sunheart Holistic, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 200 N Broadway Ave Ste 535, Wichita, Kansas |
| Authorized Official Name and Position | Teresa O'brien (PSYCHOTHERAPIST) |
| Authorized Official Contact | 3162824985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunheart Holistic, Llc 200 N Broadway Ave Ste 535 Wichita KS 67202-2301 Ph: (316) 282-4985 | Sunheart Holistic, Llc 200 N Broadway Ave Ste 535 Wichita KS 67202 Ph: (316) 282-4985 |
| NPI Number | 1720596240 |
|---|---|
| Provider Enumeration Date | 01/18/2018 |
| Last Update Date | 02/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720596240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4750 (Kansas) | Primary |
| 1041C0700X | Social Worker - Clinical | R076120-1 (New York) | Secondary |
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