DESTINY FORGE, LPC

Counselor - Professional

Active Individual
NPI: 1174404719

Practice Address

2501 E CENTRAL AVE STE 2
Wichita, KS 67214

Phone: (316) 648-4673

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes 05175 (KS)

Frequently Asked Questions

NPI 1174404719 is the National Provider Identifier for DESTINY FORGE, LPC, a Counselor - Professional provider located in Wichita, KS. This NPI was enumerated on September 10, 2025.
DESTINY FORGE, LPC practices at 2501 E CENTRAL AVE STE 2, Wichita, KS 67214.

Quick Facts

NPI
1174404719
Type
Individual
Enumerated
Sep 10, 2025
Last Updated
Sep 10, 2025

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