# CARRIE COUTURE LSCSW LLC

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

## Provider details

- **NPI number:** 1457127110
- **Authorized official:** CARRIE D COUTURE LSCSW (OWNER)
- **Authorized official phone:** (316) 779-2564

## Contact information

- **Practice address:** 2118 N TYLER RD BUILDING B STE 100, WICHITA, KS 67212-4912
- **Practice address phone:** (316) 779-2564
- **Mailing address:** 2118 N TYLER RD BUILDING B STE 100, WICHITA, KS 67212-4912
- **Mailing address phone:** (316) 779-2564

## Taxonomy

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

## Other

- **Enumeration date:** 12/04/2023
- **Last updated:** 12/04/2023