Provider Demographics
NPI:1851847941
Name:REMPEL, TANYA (LSCSW)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:
Last Name:REMPEL
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1131 S CLIFTON AVE STE A
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67218-2963
Mailing Address - Country:US
Mailing Address - Phone:316-689-6445
Mailing Address - Fax:316-689-6467
Practice Address - Street 1:1131 S CLIFTON AVE STE A
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218-2963
Practice Address - Country:US
Practice Address - Phone:316-689-6445
Practice Address - Fax:316-689-6467
Is Sole Proprietor?:No
Enumeration Date:2016-08-29
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS24381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical