OrganizationActive
Avenues for Change
NPI 1114630076 · Mental Health Counselor · Great Bend, KS
Provider details
- NPI number
- 1114630076
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Authorized official
- Kelley Johnson, President
Practice location
809 S Patton Rd
Great Bend, KS 67530-4620
Phone: (620) 796-2206
Fax: (866) 288-1782
Mailing address
Po Box 1223
Great Bend, KS 67530-1223
Registry dates
- Enumerated
- 2023-01-05
- Last updated
- 2024-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.