Healthcare Provider Details

I. General information

NPI: 1205775996
Provider Name (Legal Business Name): JULIET REMASTERED THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7027 E ABERDEEN ST
WICHITA KS
67206-1167
US

IV. Provider business mailing address

7027 E ABERDEEN ST
WICHITA KS
67206-1167
US

V. Phone/Fax

Practice location:
  • Phone: 785-383-7926
  • Fax:
Mailing address:
  • Phone: 785-383-7926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: TASHA MARIE SCHRANT
Title or Position: OWNER
Credential:
Phone: 316-990-3646