Organization
ROSE HEALTH FOUNDATION
Active
Other names
Rose Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S MOATES ED.D. (EXECUTIVE DIRECTOR)
(817) 290-9500
Entity
Organization
Contact information
Practice address
4925 S BROADWAY AVE # 1309, WICHITA, KS 67216-3716
(817) 290-3200
Mailing address
4925 S BROADWAY AVE # 1309, WICHITA, KS 67216-3716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
175F00000X
Naturopath
—
—
175L00000X
Homeopath
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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