Four Branches Therapy & Wellness, Llc

LBN: Four Branches Therapy & Wellness, Llc
Four Branches Therapy & Wellness, Llc is an health care organization with primary practice located at 11828 W Central Ave Ste 104 , Wichita KS 67212-5178. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Four Branches Therapy & Wellness, Llc can be contacted via phone (316) 648-8886, or through Stuever, Tracy D via phone (316) 648-8886.

Contact Information

Primary practice address
11828 W Central Ave Ste 104 Wichita KS 67212-5178
Phone: (316) 648-8886
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stuever, Tracy D LCMFT
Phone: (316) 648-8886

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X LCMFT 756 Kansas

Profile Details

NPI number 1114297314
LBN Legal business name Four Branches Therapy & Wellness, Llc
DBA Doing business as
Authorized official Stuever, Tracy D LCMFT
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2012
Last updated Nov 12th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114297314 NPPES
Kansas MEDICAID 200671720B

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