Healthcare Provider Details

I. General information

NPI: 1912683954
Provider Name (Legal Business Name): SAINT CHARBEL MENTAL HEALTH AND WELLNESS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2023
Last Update Date: 06/26/2023
Certification Date: 06/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13830 SANTA FE TRAIL DR STE 109
LENEXA KS
66215-3381
US

IV. Provider business mailing address

13830 SANTA FE TRAIL DR STE 109
LENEXA KS
66215-3381
US

V. Phone/Fax

Practice location:
  • Phone: 913-413-3429
  • Fax:
Mailing address:
  • Phone: 913-413-3429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LUCY M. GICHIRU
Title or Position: NURSE PRACTITIONER
Credential: PMHNP - BC
Phone: 913-413-3429