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Contact Information

CHRISTIAN COUNSELING CENTER OF WICHITA, INC
333 GREENWOOD ST
WICHITA, KS67211-1844
 Phone: 316-264-8800
 Fax: 316-264-8809
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Marriage & Family Therapist

106H00000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for CHRISTIAN COUNSELING CENTER OF WICHITA, INC

NPI # 1689616062
LBN Legal business name CHRISTIAN COUNSELING CENTER OF WICHITA, INC
Authorized official MARK GLOVER - (CLINICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/12/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
KS License # 1957
KS License # 219
KS License # 2271
KS License # 2526
KS License # 622
KS License # 642
KS License # 643
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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