# MANDALA CLINICAL, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mandala Community, LLC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336979863
- **Authorized official:** CHELSEA JACKSON LMSW (CLINICAL MANAGER)
- **Authorized official phone:** (316) 776-5489

## Contact information

- **Practice address:** 2520 E DOUGLAS AVE, WICHITA, KS 67214-4514
- **Practice address phone:** (316) 776-5489
- **Practice address fax:** (316) 494-6348
- **Mailing address:** 2520 E DOUGLAS AVE, WICHITA, KS 67214-4514
- **Mailing address phone:** (316) 776-5489
- **Mailing address fax:** (316) 494-6348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2024
- **Last updated:** 09/23/2026