Healthcare Provider Details

I. General information

NPI: 1093554396
Provider Name (Legal Business Name): HUMMINGBIRD MENTAL HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2024
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

739 3RD ST
PHILLIPSBURG KS
67661-1915
US

IV. Provider business mailing address

739 3RD ST
PHILLIPSBURG KS
67661-1915
US

V. Phone/Fax

Practice location:
  • Phone: 785-252-7529
  • Fax: 785-543-0215
Mailing address:
  • Phone: 785-252-7529
  • Fax: 785-543-0215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: ROBYN BURWELL
Title or Position: CO-OWNER
Credential: PMHNP
Phone: 785-252-7529