Healthcare Provider Details

I. General information

NPI: 1154712560
Provider Name (Legal Business Name): KRISTEN STITT LCMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2015
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 N ROCK RD STE 130
WICHITA KS
67206-2261
US

IV. Provider business mailing address

250 N ROCK RD STE 130
WICHITA KS
67206-2261
US

V. Phone/Fax

Practice location:
  • Phone: 620-804-1666
  • Fax:
Mailing address:
  • Phone: 620-804-1666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2820
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: