Organization
PLEASANT PLACE PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDIOMI E ENEBONG (OWNER)
(832) 206-1265
Entity
Organization
Contact information
Practice address
6611 E CENTRAL AVE STE C, WICHITA, KS 67206-1937
(507) 353-2419
(507) 607-8967
Mailing address
4925 S BROADWAY AVE # 1077, WICHITA, KS 67216-3716
(507) 353-2419
(507) 607-8967
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
01/14/2025
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