Provider Demographics
NPI:1922292952
Name:EMEANA, CHI-CHI (TLMT)
Entity Type:Individual
Prefix:MS
First Name:CHI-CHI
Middle Name:
Last Name:EMEANA
Suffix:
Gender:F
Credentials:TLMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1416 N KANSAS ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-1711
Mailing Address - Country:US
Mailing Address - Phone:316-265-0855
Mailing Address - Fax:316-265-0855
Practice Address - Street 1:1416 N KANSAS ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-1711
Practice Address - Country:US
Practice Address - Phone:316-265-0855
Practice Address - Fax:316-265-0855
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-03
Last Update Date:2007-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS900106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist