Provider Demographics
NPI:1891257267
Name:JOHN W. ORMISTON, LLC
Entity Type:Organization
Organization Name:JOHN W. ORMISTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LSCSW
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:ORMISTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-253-9135
Mailing Address - Street 1:650 N LANCASTER DR
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67230-6608
Mailing Address - Country:US
Mailing Address - Phone:316-253-9135
Mailing Address - Fax:
Practice Address - Street 1:8100 E 22ND ST N BLDG 2300-3
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-2306
Practice Address - Country:US
Practice Address - Phone:316-253-9135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-03
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty