Organization
MICHELLE OLIPHANT, LLC
Active
Other names
Michelle Oliphant, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE OLIPHANT LMSW (SOLE OWNER)
(316) 500-3711
Entity
Organization
Contact information
Practice address
4601 E DOUGLAS AVE STE 120, WICHITA, KS 67218-1032
(316) 500-3711
Mailing address
4601 E DOUGLAS AVE STE 120, WICHITA, KS 67218-1032
13165003711
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
10366
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201157740A
—
KS
Enumeration date
07/26/2017
Last updated
06/16/2018
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