Healthcare Provider Details

I. General information

NPI: 1649777079
Provider Name (Legal Business Name): ALISON M GEORGE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALISON M FUNK LPC

II. Dates (important events)

Enumeration Date: 04/11/2018
Last Update Date: 07/20/2021
Certification Date: 07/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8623 EAST 32ND ST NORTH, NEW PERSPECTIVES LLC
WICHITA KS
67226
US

IV. Provider business mailing address

8623 EAST 32ND ST NORTH, NEW PERSPECTIVES LLC
WICHITA KS
67226
US

V. Phone/Fax

Practice location:
  • Phone: 316-869-2888
  • Fax: 316-425-5550
Mailing address:
  • Phone: 316-869-2888
  • Fax: 316-425-5550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3238
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: