Healthcare Provider Details

I. General information

NPI: 1427848167
Provider Name (Legal Business Name): HEADWAY THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

434 N OHIO AVE
WICHITA KS
67214-3938
US

IV. Provider business mailing address

434 N OHIO AVE
WICHITA KS
67214-3938
US

V. Phone/Fax

Practice location:
  • Phone: 316-358-9328
  • Fax: 316-358-7244
Mailing address:
  • Phone: 316-358-9328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. DOZIE IWUAGWU
Title or Position: COUNSELOR
Credential: LPC, LMAC
Phone: 316-358-9328