# TAVA CLINICAL SERVICES OF KANSAS, PA

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

## Provider details

- **NPI number:** 1437937331
- **Authorized official:** DALLEN ALLRED (CEO)
- **Authorized official phone:** (385) 406-2869

## Contact information

- **Practice address:** 801 E DOUGLAS AVE, WICHITA, KS 67202-3548
- **Practice address phone:** (316) 867-9302
- **Practice address fax:** (801) 992-8269
- **Mailing address:** PO BOX 581406, SALT LAKE CITY, UT 84158-1406
- **Mailing address phone:** (385) 406-2867
- **Mailing address fax:** (801) 992-8269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/20/2023
- **Last updated:** 03/27/2026