# SAMANTHA RUNNION, LSCSW, LLC

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

## Provider details

- **NPI number:** 1689027070
- **Authorized official:** SAMANTHA VALENE RUNNION (MENTAL HEALTH THERAPIST)
- **Authorized official phone:** (316) 777-6718

## Contact information

- **Practice address:** 7570 W 21ST ST N., BUILDING 1046, SUITE A, WICHITA, KS 67205-6720
- **Practice address phone:** (316) 777-6718
- **Practice address fax:** (316) 462-0629
- **Mailing address:** 7570 W 21ST ST N, BUILDING 1046, SUITE A, WICHITA, KS 67205-1734
- **Mailing address phone:** (316) 777-6718
- **Mailing address fax:** (316) 462-0629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 4078 | KS | Yes |

## Other

- **Enumeration date:** 07/20/2016
- **Last updated:** 01/01/2022