Organization
ICT HOPE THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER ANN SPENCER LSCSW, LMAC, RPT (OWNER/THERAPIST)
(316) 573-7343
Entity
Organization
Contact information
Practice address
9415 E HARRY ST STE 208, WICHITA, KS 67207-5076
(316) 573-7343
(316) 221-7159
Mailing address
9415 E HARRY ST STE 503, WICHITA, KS 67207-5082
(316) 573-7343
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
03/02/2022
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