Healthcare Provider Details

I. General information

NPI: 1740542067
Provider Name (Legal Business Name): LAYLA MUMGAARD LSCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2012
Last Update Date: 09/27/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 N 7TH ST
GARDEN CITY KS
67846-5524
US

IV. Provider business mailing address

1780 ANDOVER DR
GARDEN CITY KS
67846-8609
US

V. Phone/Fax

Practice location:
  • Phone: 620-640-6668
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number05435
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: