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Organization
FIREWEED PSYCHIATRY ICT LLC
Active
Organization
FIREWEED PSYCHIATRY ICT LLC
Active
Other names
Fireweed Psychiatry ICT
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE NICOLE DIXON APRN (PMHNP-BC)
(316) 305-5689
Entity
Organization
Contact information
Practice address
423 N MCLEAN BLVD STE 218, WICHITA, KS 67203-5964
(316) 247-1147
(218) 610-2047
Mailing address
423 N MCLEAN BLVD STE 218, WICHITA, KS 67203-5964
(316) 247-1147
(218) 610-2047
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/14/2025
Last updated
04/30/2026
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