Organization
SUNHEART HOLISTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA O'BRIEN LSCSW, LSCW-R (PSYCHOTHERAPIST)
(316) 282-4985
Entity
Organization
Contact information
Practice address
200 N BROADWAY AVE STE 535, WICHITA, KS 67202
(316) 282-4985
Mailing address
200 N BROADWAY AVE STE 535, WICHITA, KS 67202-2301
(316) 282-4985
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4750
KS
1041C0700X
Clinical Social Worker
R076120-1
NY
Other
Enumeration date
01/18/2018
Last updated
02/27/2019
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