OrganizationActive
Self Connect Wellness, LLC
NPI 1396601084 · Adult Mental Health Clinic/Center · Hiawatha, KS
Provider details
- NPI number
- 1396601084
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dustin Williams, Co-Owner(785) 741-1708
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Ambulatory Health Care Facilities
Physician Assistants & Advanced Practice Nursing Providers
Behavioral Health & Social Service Providers
Ambulatory Health Care Facilities
Practice location
800 N 6th St
Hiawatha, KS 66434-1717
Phone: (785) 992-1531
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 91
Hiawatha, KS 66434-0091
Registry dates
- Enumerated
- 2025-12-26
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.