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Contact Information

CREATIVE BLISS THERAPY
115 WATERMAN STREET
WICHITA, KS67202
 Phone: 316-395-1030
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for CREATIVE BLISS THERAPY

NPI Number 1043712912
LBN Legal business name CREATIVE BLISS THERAPY
Authorized official JESSICA MURET - (OWNER/SOCIAL WORKER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2018
Last updated 03/09/2018 - More than a year ago
Identifiers
KS License # 3032
KS License # 4549
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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