Healthcare Provider Details

I. General information

NPI: 1689590507
Provider Name (Legal Business Name): AALBRECHT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 S MAIN ST STE 505
WICHITA KS
67202-3738
US

IV. Provider business mailing address

418 S BELMONT ST
WICHITA KS
67218-1308
US

V. Phone/Fax

Practice location:
  • Phone: 316-688-8390
  • Fax:
Mailing address:
  • Phone: 316-371-2423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: AMANDA ALBRECHT
Title or Position: LMLP
Credential:
Phone: 316-371-2423