DEIDRE MANIS LLC NPI 1356947089

NPI Information

NPI: 1356947089
Provider Name: DEIDRE MANIS, LLC
Classification: Clinic/Center - 261QM0850X
Specialization: Adult Mental Health
Entity Type: Organization
Address: 7807 E FUNSTON ST
WICHITA, KS
ZIP 67207
Phone: (316) 636-1188

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NPI Details

DEIDRE MANIS, LLC is an adult mental health clinic center in Wichita, KS. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. DEIDRE MANIS, LLC NPI is 1356947089. The provider is registered as an organization entity type.

The provider's business location address is:

7807 E FUNSTON ST
WICHITA, KS
ZIP 67207-123
Phone: (316) 636-1188
Fax: (316) 636-1190

The provider's authorized official is Deidre Manis .
The authorized official title is Clinical Social Worker and has the following contact phone number (620) 875-9656.

The enumeration date for this NPI number is 12/8/2020 and was last updated on 12/8/2020.

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	261QM0850X	Clinic/Center	Adult Mental Health			Yes
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No

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: 11/21/2025

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