Provider Demographics
NPI:1235474412
Name:WORD OF LIFE MINISTERIES
Entity Type:Organization
Organization Name:WORD OF LIFE MINISTERIES
Other - Org Name:ASSOCIATED WORD OF LIFE COUNSELORS ADDICTION TREATMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:D
Authorized Official - Last Name:REINER
Authorized Official - Suffix:
Authorized Official - Credentials:LCMFT
Authorized Official - Phone:316-838-9200
Mailing Address - Street 1:3811 N MERIDIAN AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67204-3438
Mailing Address - Country:US
Mailing Address - Phone:316-838-9200
Mailing Address - Fax:216-838-0567
Practice Address - Street 1:3811 N MERIDIAN AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67204-3438
Practice Address - Country:US
Practice Address - Phone:316-838-9200
Practice Address - Fax:216-838-0567
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WORD OF LIFE MINISTERIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-11-29
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLAC823101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty