Lauren Carrillo, LCMFT
Individual provider Active NPI Marriage & Family Therapist · Wichita, KS
NPI 1962819110 · NPPES record last updated Aug 28, 2018
Key facts
- NPI
- 1962819110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 111 S Whittier St Ste 1500
Wichita, KS 67207 - Phone
- (316) 512-7520
- Fax
- (888) 974-1205
- NPI assigned
- Jul 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | KS | Yes |
Addresses
Primary practice location
111 S Whittier St Ste 1500
Wichita, KS 67207
Mailing address
111 S Whittier St Ste 1500
Wichita, KS 67207-1045
Phone (316) 512-7520
Other practice location 1
12828 E 13th St N
Wichita, KS 67230-1465
Phone (316) 512-7520
Other providers in Wichita, KS
- Susan L Carr
- Tammy Lee Carr
- Leslie Dianna Carreon
- Carrie Couture Lscsw LLC
- Stephanie June Carrigan
- Carrington House L.L.C.
- Diana L Carro
- Shannon A Carro
- Ailey Carroll
- Barbara Carroll
All providers in Wichita, KS · Marriage & Family Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.