Organization
SELF CONNECT WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUSTIN WILLIAMS APRN (CO-OWNER)
(785) 741-1708
Entity
Organization
Contact information
Practice address
800 N 6TH ST, HIAWATHA, KS 66434-1717
(785) 992-1531
Mailing address
PO BOX 91, HIAWATHA, KS 66434-0091
(785) 741-1708
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
12/26/2025
Last updated
06/02/2026
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