Provider Demographics
NPI:1083977615
Name:FAITH COUNSELING & WELLNESS CENTER
Entity Type:Organization
Organization Name:FAITH COUNSELING & WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:KUHN
Authorized Official - Suffix:
Authorized Official - Credentials:LCMFT
Authorized Official - Phone:860-481-0714
Mailing Address - Street 1:639 NE SUSIE CT
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66617-4534
Mailing Address - Country:US
Mailing Address - Phone:860-481-0714
Mailing Address - Fax:
Practice Address - Street 1:7272 K4 HWY
Practice Address - Street 2:SU CC;
Practice Address - City:MERIDEN
Practice Address - State:KS
Practice Address - Zip Code:66512-9564
Practice Address - Country:US
Practice Address - Phone:860-481-0714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS021106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty