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NPI Code Detail

MEDICARE: ENHANCED INNER PEACE THERAPY, LLC

MEDICARE: ENHANCED INNER PEACE THERAPY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1023690914
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENHANCED INNER PEACE THERAPY, LLC
Provider Business Mailing Address
First Line : 8345 E OLD MILL CT
Second Line :
City : WICHITA
State : KS
Zip : 67226-4236
Country : US
Telephone Number : 316-768-7916
Fax Number : 316-636-4488
Provider Business Practice Location Address
First Line : 3500 N ROCK RD BLDG 100
Second Line :
City : WICHITA
State : KS
Zip : 67226-1328
Country : US
Telephone Number : 316-678-7916
Fax Number : 316-636-4488
Authorized Official
Title or Position : MARRIAGE AND FAMILY THERAPIST
Name : MS. SHERIDA CLAUDINE VALPOORT-JONES
Credential : LCMFT
Telephone Number : 316-768-7916
Provider Enumeration Date : 04/21/2021
Last Update Date : 04/21/2021

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Directions to “ENHANCED INNER PEACE THERAPY, LLC ” Practice Location

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