Provider Demographics
NPI:1376371831
Name:WHEELER, EMILY (LCP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:WHEELER
Suffix:
Gender:F
Credentials:LCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2004 E TAYLOR DR
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-2413
Mailing Address - Country:US
Mailing Address - Phone:913-948-2095
Mailing Address - Fax:
Practice Address - Street 1:110 S CHERRY ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-3436
Practice Address - Country:US
Practice Address - Phone:913-948-2095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLPC04721101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor