Healthcare Provider Details

I. General information

NPI: 1225409204
Provider Name (Legal Business Name): BEHAVIORAL HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2015
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N WOODLAWN ST STE 111
WICHITA KS
67208-4331
US

IV. Provider business mailing address

856 N SPEYSIDE CIR
ANDOVER KS
67002-8989
US

V. Phone/Fax

Practice location:
  • Phone: 316-648-1157
  • Fax: 866-316-4467
Mailing address:
  • Phone: 316-807-6196
  • Fax: 866-316-4467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4023
License Number StateKS

VIII. Authorized Official

Name: LEELIN T DAY
Title or Position: OWNER
Credential: LSCSW
Phone: 316-807-6196