Healthcare Provider Details

I. General information

NPI: 1285770206
Provider Name (Legal Business Name): MIRACLES, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 N MARKET ST
WICHITA KS
67214-2835
US

IV. Provider business mailing address

1015 E 2ND ST N
WICHITA KS
67214-3908
US

V. Phone/Fax

Practice location:
  • Phone: 316-264-5900
  • Fax: 316-264-2881
Mailing address:
  • Phone: 316-303-9520
  • Fax: 316-303-9602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number327
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number327
License Number StateKS

VIII. Authorized Official

Name: MS. RHONDA KAYE WALKER
Title or Position: C.E.O.
Credential: L.M.S.W.
Phone: 316-303-9520