Organization
SPIRITS HEALING SOULS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA L MAYFIELD (OWNER)
(316) 641-4403
Entity
Organization
Contact information
Practice address
1880 SE COLE CREEK RD, EL DORADO, KS 67042-9109
(316) 641-4403
Mailing address
1880 SE COLE CREEK RD, EL DORADO, KS 67042-9109
(316) 641-4403
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171000000X
COMMUNITY MENTAL HEALTH CENTER
KS
01
—
172V00000X
COMMUNITY MENTAL HEALTH CENTER
KS
Enumeration date
09/27/2016
Last updated
10/06/2016
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