Individual
DONNA MAYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
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
103K00000X
Behavior Analyst
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171000000X
COMMUNITY MENTAL HEALTH CENTER
—
01
—
172V00000X
COMMUNITY MENTAL HEALTH CENTER
—
01
—
461928417
BEHAVIOR HEALTH PROVIDER IN THE COMMUNITY
KS
Enumeration date
05/25/2016
Last updated
09/27/2016
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