Organization
JANICE M. PARKS, LMSW
Active
Other names
Empowered to Live Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE M PARKS LMSW (PROVIDER/ ONWER)
(316) 204-9571
Entity
Organization
Contact information
Practice address
5321 SHADOWRIDGE CT, WICHITA, KS 67220-4260
(316) 204-9571
(316) 765-0105
Mailing address
5321 SHADOWRIDGE CT, WICHITA, KS 67220-4260
(316) 204-9571
(316) 765-0105
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8614
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8614
STATE OF KANSAS BEHAVORIAL SCIENCES REGULATORY BOARD
KS
Enumeration date
01/30/2015
Last updated
01/30/2015
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