Healthcare Provider Details

I. General information

NPI: 1295654762
Provider Name (Legal Business Name): LEGACY POINT COMMUNITY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

5025 E KELLOGG DR STE 115
WICHITA KS
67218-1500
US

IV. Provider business mailing address

5025 E KELLOGG DR STE 115
WICHITA KS
67218-1500
US

V. Phone/Fax

Practice location:
  • Phone: 316-993-5858
  • Fax:
Mailing address:
  • Phone: 316-993-5858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: STEPHANIE SPRATLEN
Title or Position: FOUNDER
Credential:
Phone: 316-993-5858