PRIME LIFE COUNSELING LLC NPI 1659854081

NPI Information

NPI: 1659854081
Provider Name: PRIME LIFE COUNSELING, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
9350 E CORPORATE HILLS DR UNIT 780791
WICHITA, KS
ZIP 67278
Phone: (316) 655-1376
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PRIME LIFE COUNSELING, LLC is a mental health counselor in Wichita, KS. PRIME LIFE COUNSELING, LLC NPI is 1659854081. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9350 E CORPORATE HILLS DR UNIT 780791
WICHITA, KS
ZIP 67278-100
Phone: (316) 655-1376

The provider's authorized official is Jennifer Primeaux .
The authorized official title is Owner/clinician and has the following contact phone number (316) 655-1376.

The enumeration date for this NPI number is 9/11/2018 and was last updated on 7/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LCPC2512	MEDICAID	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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