Organization
JANNY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNY KETSANA SIVILAY LSCSW, LCSW (OWNER)
(913) 210-0949
Entity
Organization
Contact information
Practice address
4601 E DOUGLAS AVE STE 150, WICHITA, KS 67218-1032
(913) 210-0949
Mailing address
4601 E DOUGLAS AVE STE 150, WICHITA, KS 67218-1032
(913) 210-0949
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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