Organization
MINDBRIDGE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATINA MITCHELL (OWNER)
(316) 444-4980
Entity
Organization
Contact information
Practice address
200 N BROADWAY AVE STE 110, WICHITA, KS 67202-2324
(316) 444-4980
Mailing address
200 N BROADWAY AVE STE 110, WICHITA, KS 67202-2324
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
07/17/2024
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