Healthcare Provider Details

I. General information

NPI: 1831180033
Provider Name (Legal Business Name): COUNTY OF SEDGWICK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2005
Last Update Date: 03/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 N MAIN ST
WICHITA KS
67203-3602
US

IV. Provider business mailing address

271 W 3RD ST N STE 600
WICHITA KS
67202-1223
US

V. Phone/Fax

Practice location:
  • Phone: 316-660-7600
  • Fax: 316-660-7510
Mailing address:
  • Phone: 316-660-7600
  • Fax: 316-941-5075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JOAN TAMMANY
Title or Position: EXECUTIVE DIRECTOR
Credential: LMLP
Phone: 316-660-7665