Organization
ESSENTIAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN C BRADLEY LSCSW (OWNER)
(785) 259-3880
Entity
Organization
Contact information
Practice address
2887 SW MACVICAR AVE # 110, TOPEKA, KS 66611-1782
(785) 259-3880
Mailing address
2887 SW MACVICAR AVE STE 110, TOPEKA, KS 66611-1782
(785) 260-0272
(785) 408-1862
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200666160C
—
KS
Enumeration date
01/21/2020
Last updated
12/20/2020
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