Healthcare Provider Details

I. General information

NPI: 1548189640
Provider Name (Legal Business Name): COMMON THREAD COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10209 W CENTRAL AVE STE 1
WICHITA KS
67212-4685
US

IV. Provider business mailing address

10209 W CENTRAL AVE STE 1
WICHITA KS
67212-4685
US

V. Phone/Fax

Practice location:
  • Phone: 316-290-9895
  • Fax:
Mailing address:
  • Phone:
  • 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: KYNDALL MILLER
Title or Position: THERAPIST
Credential: LPC
Phone: 316-290-9895