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Organization
BOMBADIL BEHAVIORAL HEALTH LLC
Active
Organization
BOMBADIL BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GILLENWATER LMSW, LAC (THERAPIST)
(620) 366-9444
Entity
Organization
Contact information
Practice address
128 S CONSTITUTION ST, EMPORIA, KS 66801-4621
(620) 366-9444
Mailing address
128 S CONSTITUTION ST, EMPORIA, KS 66801-4621
(620) 366-9444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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