Healthcare Provider Details
I. General information
NPI: 1013090489
Provider Name (Legal Business Name): WORD OF LIFE MINISTRIES AND SCHOOLS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/21/2006
Last Update Date: 09/02/2025
Certification Date: 12/14/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
915 E 53RD ST N
PARK CITY KS
67219-2611
US
IV. Provider business mailing address
915 E 53RD ST N
PARK CITY KS
67219-2611
US
V. Phone/Fax
- Phone: 316-677-7646
- Fax: 316-838-0567
- Phone: 316-677-7646
- Fax: 316-838-0567
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP1600X |
| Taxonomy | Pastoral Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 422 |
| License Number State | KS |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | 048 |
| License Number State | KS |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TROY
REINER
Title or Position: DIRECTOR
Credential: LCMFT
Phone: 316-619-5589