Provider Demographics
NPI:1144116039
Name:ALBRECHT, AMANDA (LMLP-T)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:ALBRECHT
Suffix:
Gender:F
Credentials:LMLP-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 S BELMONT ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67218-1308
Mailing Address - Country:US
Mailing Address - Phone:316-371-2423
Mailing Address - Fax:
Practice Address - Street 1:100 S MAIN ST STE 505
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67202-3738
Practice Address - Country:US
Practice Address - Phone:316-688-8390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS03434-T.103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical