# SOUTH CENTRAL MENTAL HEALTH COUNSELING CENTER

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

## Provider details

- **NPI number:** 1396089694
- **Authorized official:** MRS. REGINA CORCIMIGLIA (HR SPECIALIST)
- **Authorized official phone:** (316) 755-5491

## Contact information

- **Practice address:** 2365 W CENTRAL AVE, EL DORADO, KS 67042-3208
- **Practice address phone:** (316) 321-6036
- **Mailing address:** 2365 W CENTRAL AVE, EL DORADO, KS 67042-3208
- **Mailing address phone:** (316) 321-6036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | T-LMLP 2425 | KS | Yes |

## Other

- **Enumeration date:** 11/27/2012
- **Last updated:** 11/27/2012