# A1 COUNSELING

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

## Provider details

- **NPI number:** 1386982726
- **Authorized official:** MR. LARRY L SMITH LSCSW,LCAC (OWNER/COUNSELOR)
- **Authorized official phone:** (316) 944-2087

## Contact information

- **Practice address:** 524 N BAEHR ST, WICHITA, KS 67212-2220
- **Practice address phone:** (316) 944-2087
- **Practice address fax:** (316) 944-2087
- **Mailing address:** 524 N BAEHR ST, WICHITA, KS 67212-2220
- **Mailing address phone:** (316) 944-2087
- **Mailing address fax:** (316) 944-2087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2013
- **Last updated:** 01/18/2013