Organization
LUKE CARTER, LP, LLC
Active
Parent organization
LUKE CARTER, LP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUKE CARTER, LP, LLC
Authorized official
MR. DIANA MISKIEWICZ (CREDENTIALING)
(316) 519-1877
Entity
Organization
Contact information
Practice address
4601 E DOUGLAS AVE STE 207, WICHITA, KS 67218-1032
(316) 337-5556
(316) 337-5531
Mailing address
4601 E DOUGLAS AVE STE 207, WICHITA, KS 67218-1032
(316) 337-5556
(316) 337-5531
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
06/11/2020
Last updated
03/28/2021
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