Provider Demographics
NPI:1598924060
Name:INDIVIDUAL AND FAMILY SYSTEMS
Entity Type:Organization
Organization Name:INDIVIDUAL AND FAMILY SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:SHIVE
Authorized Official - Suffix:
Authorized Official - Credentials:LCMFT
Authorized Official - Phone:316-689-8787
Mailing Address - Street 1:2024 N WOODLAWN ST STE 409
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-1879
Mailing Address - Country:US
Mailing Address - Phone:316-689-8787
Mailing Address - Fax:316-688-9897
Practice Address - Street 1:2024 N WOODLAWN ST STE 409
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-1879
Practice Address - Country:US
Practice Address - Phone:316-689-8787
Practice Address - Fax:316-688-9897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty