Healthcare Provider Details

I. General information

NPI: 1639649049
Provider Name (Legal Business Name): NOBLE ORAJIATO LCPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2018
Last Update Date: 09/03/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3219 E DOUGLAS AVE
WICHITA KS
67218-1024
US

IV. Provider business mailing address

9321 W CENTRAL AVE APT 3
WICHITA KS
67212-3817
US

V. Phone/Fax

Practice location:
  • Phone: 316-201-6047
  • Fax:
Mailing address:
  • Phone: 316-209-0447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3489
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: