MRS. MICAELA ELIZABETH PRUIETT LPC
NPI 1093532384
Counselor - Professional in Wichita, KS
- Individual
- Female
- Counselor
- Professional
About MICAELA PRUIETT
This page provides the complete NPI Profile along with additional information for Micaela Pruiett, a provider established in Wichita, Kansas with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1093532384 assigned on September 2024. The practitioner's primary taxonomy code is 101YP2500X with license number 04798-T (KS). The provider is registered as an individual and her NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1093532384 Verify this NPI
- Provider Name
- MRS. MICAELA ELIZABETH PRUIETT LPC
- Other Name
- MISS MICAELA ELIZABETH PRUIETT
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 322 S LAURA AVE WICHITA, KS 67211
- Location Phone
- (419) 331-6789
- Mailing Address
- 116 W PAWNEE AVE WICHITA, KS 67213
- Mailing Phone
- (903) 747-0869
- Mailing Fax
- (316) 453-4173
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-26-2024
- Last Update Date
- 09-26-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 04798-T
- License State
- KS
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093532384, enumerated as an "individual" on September 26, 2024.
The provider is located at 322 S LAURA AVE WICHITA, KS 67211 and the phone number is (419) 331-6789.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
