NPI: 1144744723
Provider Name: MICHELLE OLIPHANT, LLC
Doing Business As: MICHELLE OLIPHANT, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization
Specialization: Mental Health (Including Community Mental Health Center)
Address:
4601 E DOUGLAS AVE STE 120
WICHITA, KS
ZIP 67218
Phone: (316) 500-3711
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MICHELLE OLIPHANT, LLC is a mental health (including community mental health center) clinic center in Wichita, KS. MICHELLE OLIPHANT, LLC NPI is 1144744723. The provider is registered as an organization entity type.
The provider Is Doing Business As Michelle Oliphant, Llc.
The provider's business location address is:
4601 E DOUGLAS AVE STE 120
WICHITA, KS
ZIP 67218-032
Phone: (316) 500-3711
The provider's authorized official is Michelle Oliphant .
The authorized official title is Sole Owner and has the following contact phone number (316) 500-3711.
The enumeration date for this NPI number is 7/26/2017 and was last updated on 6/16/2018.