Organization
BLUE HERON THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN TERAN LSCSW (OWNER)
(316) 247-4737
Entity
Organization
Contact information
Practice address
200 N BROADWAY AVE STE 235, WICHITA, KS 67202-2300
(316) 247-4737
Mailing address
200 N BROADWAY AVE STE 235, WICHITA, KS 67202-2300
(316) 247-4737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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