Healthcare Provider Details

I. General information

NPI: 1194632398
Provider Name (Legal Business Name): ESSENTIAL WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2314 SE CAPRICORN AVE
TOPEKA KS
66605-1822
US

IV. Provider business mailing address

2314 SE CAPRICORN AVE
TOPEKA KS
66605-1822
US

V. Phone/Fax

Practice location:
  • Phone: 785-259-3880
  • Fax:
Mailing address:
  • Phone: 785-259-3880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: DAWN CHARLENE BRADLEY
Title or Position: OWNER
Credential: LSCSW
Phone: 785-259-3880