Organization
KJM VENTURES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA MICHELLE HIBBS LPC (THERAPIST)
(316) 204-6484
Entity
Organization
Contact information
Practice address
7926 W 21ST ST N, WICHITA, KS 67205-1742
(316) 272-5502
(316) 462-5640
Mailing address
1349 N ARGONIA RD, MILTON, KS 67106-8012
(316) 204-6484
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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