Organization
FIREWEED PSYCHIATRY ICT LLC
Active
Other names
Fireweed Psychiatry ICT
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE NICOLE DIXON APRN (PMHNP-BC)
(316) 305-5689
Entity
Organization
Contact information
Practice address
423 N MCLEAN BLVD STE 218, WICHITA, KS 67203-5964
(316) 247-1147
(218) 610-2047
Mailing address
423 N MCLEAN BLVD STE 218, WICHITA, KS 67203-5964
(316) 247-1147
(218) 610-2047
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/14/2025
Last updated
04/30/2026
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