Healthcare Provider Details

I. General information

NPI: 1215806187
Provider Name (Legal Business Name): VANIA ESPINOZA-AVILA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 10/30/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2649 SW ARROWHEAD RD.
TOPEKA KS
66614
US

IV. Provider business mailing address

2649 SW ARROWHEAD RD.
TOPEKA KS
66614
US

V. Phone/Fax

Practice location:
  • Phone: 785-233-0516
  • Fax: 785-271-4433
Mailing address:
  • Phone: 785-233-0516
  • Fax: 785-271-4433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number03775-T
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: