Provider Demographics
NPI:1306028477
Name:SEACHRIS, MANDI J (MS, LCPC)
Entity Type:Individual
Prefix:MS
First Name:MANDI
Middle Name:J
Last Name:SEACHRIS
Suffix:
Gender:F
Credentials:MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2460 N BROMFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-1141
Mailing Address - Country:US
Mailing Address - Phone:913-593-8348
Mailing Address - Fax:
Practice Address - Street 1:520 E AUGUSTA AVE
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:KS
Practice Address - Zip Code:67010-2100
Practice Address - Country:US
Practice Address - Phone:316-775-5491
Practice Address - Fax:316-775-5442
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2286101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional