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Organization

MINDCLUB BEHAVIORAL HEALTH KANSAS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY RICHARDSON (VP)
(615) 390-2865
Entity
Organization

Contact information

Practice address
601 E DOUGLAS AVENUE, WICHITA, KS 67218
(615) 390-2865
Mailing address
106 MISSION CT STE 201A, FRANKLIN, TN 37067-6441

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
02/27/2026
Last updated
02/27/2026
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