Healthcare Provider Details

I. General information

NPI: 1497275937
Provider Name (Legal Business Name): WENDI ANNETTE BARRETT LMAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2017
Last Update Date: 06/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SW 10TH AVENUE
TOPEKA KS
66606
US

IV. Provider business mailing address

1805 SOUTH OHIO STREET
SALINA KS
67401
US

V. Phone/Fax

Practice location:
  • Phone: 785-825-6224
  • Fax: 785-825-1433
Mailing address:
  • Phone: 785-825-6224
  • Fax: 785-825-1433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number192
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: