Healthcare Provider Details
I. General information
NPI: 1275443012
Provider Name (Legal Business Name): HEROES QUEST THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2839 S HIRAM AVE
WICHITA KS
67217-1934
US
IV. Provider business mailing address
2839 S HIRAM AVE
WICHITA KS
67217-1934
US
V. Phone/Fax
- Phone: 316-833-8595
- Fax:
- Phone: 316-833-8595
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FRANKLIN
HORBELT
Title or Position: MANAGING MEMBER
Credential: LCPC
Phone: 316-833-8595