# AXIOM COUNSELING & THERAPY SERVICES

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

## Provider details

- **NPI number:** 1639526536
- **Authorized official:** D TODD NICKEL LCMFT (OWNER)
- **Authorized official phone:** (316) 461-8149

## Contact information

- **Practice address:** 7570 W 21ST ST N, BUILDING1042 SUITE B, WICHITA, KS 67205-1734
- **Practice address phone:** (316) 461-8149
- **Mailing address:** 11809 W SHERIAC ST, WICHITA, KS 67209-4087
- **Mailing address phone:** (316) 461-8149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 776 | KS | Yes |

## Other

- **Enumeration date:** 05/20/2016
- **Last updated:** 05/20/2016