Organization Active NPI

Healing and Refuge Centre

  • Community/Behavioral Health Agency
  • Wichita, KS
National Provider Identifier
1659535474
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3804 Issued in KS
Legal business name
HEALING AND REFUGE CENTRE
Practice address
3110 E Kite Cir
Wichita, KS 67219-3034
Phone
(316) 293-9869
NPI assigned
Jul 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Earnestine 'Lamonica' Williams, LSCSW
Title
Psychotherapist
Phone
(316) 293-9869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 3804 KS Primary

Addresses

Primary practice location

3110 E Kite Cir
Wichita, KS 67219-3034

Mailing address

3110 E Kite Cir
Wichita, KS 67219-3034
Phone (316) 293-9869

Other identifiers 1

IdentifierTypeStateIssuer
1730125964OtherKSINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1659535474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 E KITE CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672193034",
            "telephone_number": "316-293-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 E KITE CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672193034",
            "telephone_number": "316-293-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING AND REFUGE CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "EARNESTINE",
        "authorized_official_middle_name": "'LAMONICA'",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "316-293-9869",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KS",
            "license": "3804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1730125964",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.