# BRENDA S GROW, LCMFT, LLC

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

## Provider details

- **NPI number:** 1326809427
- **Authorized official:** BRENDA GROW LCMFT (OWNER)
- **Authorized official phone:** (316) 573-7791

## Contact information

- **Practice address:** 1900 N AMIDON AVE STE 210, WICHITA, KS 67203-2137
- **Practice address phone:** (316) 573-7791
- **Practice address fax:** (316) 932-1556
- **Mailing address:** 1900 N AMIDON AVE STE 210, WICHITA, KS 67203-2137
- **Mailing address phone:** (316) 573-7791
- **Mailing address fax:** (316) 932-1556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2024
- **Last updated:** 01/17/2024