# JOSHUA TREE WELLNESS CENTER LLC

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

## Provider details

- **NPI number:** 1992486427
- **Authorized official:** JAYME GILLUND LCPC (OWNER/EXECUTIVE DIRECTOR)
- **Authorized official phone:** (620) 344-2149

## Contact information

- **Practice address:** 726 COMMERCIAL ST STE B, EMPORIA, KS 66801-2906
- **Practice address phone:** (620) 344-2149
- **Mailing address:** 726 COMMERCIAL ST STE B, EMPORIA, KS 66801-2906
- **Mailing address phone:** (620) 344-2149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |

## Other

- **Enumeration date:** 07/27/2023
- **Last updated:** 07/27/2023