Provider Demographics
NPI:1467893024
Name:CHILD ADVOCACY CENTER OF SEDGWICK COUNTY
Entity Type:Organization
Organization Name:CHILD ADVOCACY CENTER OF SEDGWICK COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERICKA
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:PURCELL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:316-337-6468
Mailing Address - Street 1:130 S MARKET ST
Mailing Address - Street 2:SUITE B183
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67202-3850
Mailing Address - Country:US
Mailing Address - Phone:316-337-6593
Mailing Address - Fax:316-337-6083
Practice Address - Street 1:130 S MARKET ST
Practice Address - Street 2:SUITE B183
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67202-3850
Practice Address - Country:US
Practice Address - Phone:316-337-6593
Practice Address - Fax:316-337-6083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-11
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty