Organization
WICHITA SUCCESS CENTER INC
Active
Other names
Year
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI LAVENDER MSW (THERAPIST)
(316) 285-5251
Entity
Organization
Contact information
Practice address
518 S VOLUTSIA AVE, WICHITA, KS 67211-2931
(316) 285-0748
Mailing address
518 S VOLUTSIA AVE, WICHITA, KS 67211-2931
(316) 285-0748
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
08/20/2023
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