SELF CONNECT WELLNESS LLC NPI 1396601084

NPI Information

  • NPI: 1396601084
  • Provider Name: SELF CONNECT WELLNESS, LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 800 N 6TH ST
    HIAWATHA, KS
    ZIP 66434
  • Phone: (785) 992-1531

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NPI Details

SELF CONNECT WELLNESS, LLC is an adult mental health clinic center in Hiawatha, 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. SELF CONNECT WELLNESS, LLC NPI is 1396601084. The provider is registered as an organization entity type.

The provider's business location address is:

800 N 6TH ST
HIAWATHA, KS
ZIP 66434-717
Phone: (785) 992-1531

The provider's authorized official is Dustin Williams .
The authorized official title is Co-owner and has the following contact phone number (785) 741-1708.

The enumeration date for this NPI number is 12/26/2025 and was last updated on 12/26/2025.

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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2261QM0850XClinic/CenterAdult Mental HealthYes

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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