Cloud, Melanie Dawn

Cloud, Melanie Dawn is an sole proprietor health care provider with primary practice located at 6700 W Central Ave Ste 106 , Wichita KS 67212-6302. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Cloud, Melanie Dawn can be contacted via phone (316) 945-5200.

Contact Information

Primary practice address
6700 W Central Ave Ste 106 Wichita KS 67212-6302
Phone: (316) 945-5200
Fax: (316) 945-5549
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 891 Kansas

Profile Details

NPI number 1275885121
LBN Legal business name Cloud, Melanie Dawn
Credentials LCMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2012
Last updated Jan 9th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275885121 NPPES
Kansas MEDICAID 201149530A

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