| Organization Name: | FAMILY COUNSELING AND PSYCHOLOGICAL SERVICES, LLC |
| NPI Number: | 1619331519 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHAWN PATRICK PADGETT (LICENSED CLINICAL PSYCHOTHERAPIST) |
| Mailing Address: | 1855 N Webb Rd Wichita |
| State: | KS US |
| Postal Code: | 672063413 |
| Phone Number: | 3166919711 |
| Fax Number: | |
| NPI Enumeration Date: | 04/07/2016 |
| NPI Last Update Date: | 04/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | 0074158003 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |