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Organization

ELEVATED MINDS COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACOB THOMAS MILLER LMSW (OWNER)
(316) 706-1873
Entity
Organization

Contact information

Practice address
6611 E CENTRAL AVE STE C, WICHITA, KS 67206-1937
(316) 706-1873
Mailing address
1824 N NEWBERRY CIR, DERBY, KS 67037-2314

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
06/19/2023
Last updated
06/19/2023
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