# MENTAL HEALTH WICHITA LLC

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

## Provider details

- **NPI number:** 1982461232
- **Authorized official:** DAVID DICKINSON (OWNER)
- **Authorized official phone:** (316) 854-8575

## Contact information

- **Practice address:** 423 N MCLEAN BLVD STE 324, WICHITA, KS 67203-5964
- **Practice address phone:** (316) 854-8575
- **Practice address fax:** (316) 869-2277
- **Mailing address:** 423 N MCLEAN BLVD STE 324, WICHITA, KS 67203-5964
- **Mailing address phone:** (316) 854-8575
- **Mailing address fax:** (316) 869-2277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/04/2024
- **Last updated:** 04/17/2025