Provider Demographics
NPI:1881567048
Name:WICHITA HYPNOTHERAPY LLC
Entity type:Organization
Organization Name:WICHITA HYPNOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:AMEND
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:316-416-6400
Mailing Address - Street 1:10100 W MAPLE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67209-3148
Mailing Address - Country:US
Mailing Address - Phone:316-416-6400
Mailing Address - Fax:833-392-1160
Practice Address - Street 1:10100 W MAPLE ST STE 101
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67209-3148
Practice Address - Country:US
Practice Address - Phone:316-416-6400
Practice Address - Fax:833-392-1160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty