# CHRISTINA GRANADOS THERAPY LLC

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

## Provider details

- **NPI number:** 1992272025
- **Authorized official:** CHRISTINA GRANADOS LSCSW (THERAPIST/OWNER)
- **Authorized official phone:** (316) 202-8549

## Contact information

- **Practice address:** 727 N WACO AVE STE 575, WICHITA, KS 67203-3951
- **Practice address phone:** (316) 202-8549
- **Mailing address:** 2420 N AMARADO ST, WICHITA, KS 67205-1521
- **Mailing address phone:** (316) 202-8549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2018
- **Last updated:** 10/27/2018