MICHELLE OLIPHANT, LLC (NPI# 1144744723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144744723 |
| Entity Type | Organization |
| Organization Name | MICHELLE OLIPHANT, LLC |
| Other Organization Name | MICHELLE OLIPHANT, LLC |
| Practice Address |
4601 E Douglas Ave Ste 120 Wichita KS 67218-1032 |
| Practice Telephone | 3165003711 |
| Mailing Telephone | 13165003711 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MICHELLE OLIPHANT (SOLE OWNER) |
| Authorized Official Telephone | 3165003711 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
10366 | KS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201157740A | 05 |
| Other Name | Type Code |
|---|---|
| Michelle Oliphant, LLC | Doing Business As Name - Organization |
| Street Address |
4601 E DOUGLAS AVE STE 120 |
| City | WICHITA |
| State | KS |
| Zip Code | 67218-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497205405 | Shawna Latimer | Marriage & Family Therapist | 4601 E Douglas Ave Ste 120, Wichita, KS 67218-1032 | 2016-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544392 | Diana Ho | Optometrist | 980 Oliver Street, Wichita, KS 67218 | 2020-07-03 |
| 1134773690 | Lily Lopez | Nurse's Aide | 5107 E Kellogg Drive, Wichita, KS 67218 | 2019-08-01 |
| 1750862512 | Kelsi Wenger | Student in an Organized Health Care Education/Training Program | 5500 E Kellog Dr, Wichita, KS 67218 | 2018-08-28 |
| 1770038937 | Hair Replacement Clinic | Specialist | 1815 S Windsor, Wichita, KS 67218 | 2016-08-17 |
| 1457757346 | South Wind Women's Centter, LLC | Clinic/Center | 5701 E Kellogg Drive, Wichita, KS 67218 | 2014-11-05 |
| 1124460787 | Teri Kitchen | Social Worker | 3414 Kinkaid, Wichita, KS 67218 | 2013-07-24 |
| 1053660142 | Glenda Rodgers-lawless, Ph.d., Lcpc, Pa | Community/Behavioral Health | 4601 E Douglas, Wichita, KS 67218 | 2012-09-05 |
| 1649541848 | Stephen Rhinehart | Registered Nurse | 5500 E Kellogg Dr., Wichita, KS 67218 | 2012-01-19 |
| 1457666927 | Recovery Services Council Inc. | Point of Service | 1611 South Rutan, Wichita, KS 67218 | 2010-08-09 |
| 1043535867 | Melissa A Weinley | Respiratory Therapist, Registered | 5500 East Kellog Dr, Wichita, KS 67218 | 2010-04-05 |
| Find all providers in zip 67218 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619441680 | Jkc Psych LLC | Clinic/Center | 8100 E 22nd St N Ste 1600, Wichita, KS 67226-2388 | 2019-01-14 |
| 1538642509 | Restoration Family Counseling Services | Clinic/Center | 5120 E Central Ave Ste 1, Wichita, KS 67208-4168 | 2018-09-14 |
| 1811415466 | Awaken Psychology LLC | Clinic/Center | 2552 N Maize Ct Suite 600, Wichita, KS 67205 | 2017-09-05 |
| 1932228533 | Dccca, Inc | Clinic/Center | 1319 W May St, Suite 1319b, Wichita, KS 67213-3505 | 2007-03-28 |
| 1609485804 | Therapeutic Paradigm | Clinic/Center | 7570 W 21st St N Ste 1006c, Wichita, KS 67205-1773 | 2020-07-24 |
| 1659997682 | Nuevo Amanecer LLC | Clinic/Center | 2312 S Meridian Ave Ste 102, Wichita, KS 67213-1912 | 2020-06-25 |
| 1447872718 | Kristi Mcneal LLC | Clinic/Center | 3310 E Douglas Ave, Wichita, KS 67208-3314 | 2020-05-10 |
| 1376163691 | Brent Crane Md LLC | Clinic/Center | 1148 S Hillside St, Wichita, KS 67211-4006 | 2020-04-17 |
| 1134758683 | Midwest Psychiatric Services, LLC | Clinic/Center | 3334 N Grey Meadow Ct, Wichita, KS 67205-8716 | 2020-04-06 |
| 1639714769 | Progressive Growth Counseling & Coaching, LLC | Clinic/Center | 1028 E 1st St N, Wichita, KS 67214-3903 | 2019-11-13 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.