MEDICARE: WHEATLAND MENTAL WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1447198577
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHEATLAND MENTAL WELLNESS LLC

Provider Business Mailing Address
First Line	:	2250 N ROCK RD STE 118-171
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67226-2331
Country	:	US
Telephone Number	:	316-469-5601
Fax Number	:

Provider Business Practice Location Address
First Line	:	929 ELMHURST BLVD
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-7401
Country	:	US
Telephone Number	:	316-469-5601
Fax Number	:

Authorized Official
Title or Position	:	SOLE OWNER
Name	:	GRANT PRITZ
Credential	:	LSCSW, LCAC
Telephone Number	:	316-469-5601

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	04/22/2026

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