# WICHITA MIND & WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235937863
- **Authorized official:** DR. HELENE J JURGENS PHD (CLINICAL PSYCHOLOGIST)
- **Authorized official phone:** (316) 747-1578

## Contact information

- **Practice address:** 1210 N LAWRENCE LN, WICHITA, KS 67206-1451
- **Practice address phone:** (316) 747-1578
- **Mailing address:** 4601 E DOUGLAS AVE STE 362, WICHITA, KS 67218-1011
- **Mailing address phone:** (316) 747-1578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | Yes |
| 103T00000X | Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2025
- **Last updated:** 03/13/2025