=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740421544
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TAURENCE C MINIKWU SR. LMAC, ADRP
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/09/2009
-----------------------------------------------------
Last Update Date | 12/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 220 SW 33RD ST # B101
-----------------------------------------------------
City | TOPEKA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66611-2299
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-338-8900
-----------------------------------------------------
Fax | 785-338-8907
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 220 SW 33RD ST # B101
-----------------------------------------------------
City | TOPEKA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66611-2299
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-338-8900
-----------------------------------------------------
Fax | 785-338-8907
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 186
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------