Healthcare Provider Details

I. General information

NPI: 1215845987
Provider Name (Legal Business Name): AISHAH MAY ALHOMSI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 N WOODLAWN ST STE 3105
WICHITA KS
67208-3673
US

IV. Provider business mailing address

555 N WOODLAWN ST STE 3105
WICHITA KS
67208-3673
US

V. Phone/Fax

Practice location:
  • Phone: 316-685-1821
  • Fax:
Mailing address:
  • Phone: 316-685-1821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number05501-T
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: