Organization
CANVAS OF CHANGE, LLC
Active
Other names
Carie Cagle
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA TILTON (CREDENTIALING)
(316) 691-2966
Entity
Organization
Contact information
Practice address
555 N WOODLAWN ST STE 120, WICHITA, KS 67208-3678
(316) 201-6294
Mailing address
555 N WOODLAWN ST STE 120, WICHITA, KS 67208-3678
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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