NPI Code Details Logo

NPI 1073490744

NPI 1073490744 : AAA THERAPY, LLC : WICHITA, KS

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1073490744
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    AAA THERAPY, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/16/2025
-----------------------------------------------------
    Last Update Date     |    10/08/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    505 S BROADWAY AVE STE 213 
-----------------------------------------------------
    City                 |    WICHITA
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    67202-3900
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    913-346-2494
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    614 HAVENWOOD CT 
-----------------------------------------------------
    City                 |    ANDOVER
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    67002-9324
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |     AMANDA  PARKMAN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    913-346-2494
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YP2500X
-----------------------------------------------------
    Taxonomy Name        |    Professional Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.