Provider Demographics
NPI:1578952305
Name:PRICE, WENDY G (MA, LPC)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:G
Last Name:PRICE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MS
Other - First Name:WENDY
Other - Middle Name:G
Other - Last Name:PRICE WOODALL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCPC
Mailing Address - Street 1:100 E KANSAS ST STE H154
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:KS
Mailing Address - Zip Code:66043-1616
Mailing Address - Country:US
Mailing Address - Phone:678-861-6292
Mailing Address - Fax:
Practice Address - Street 1:100 E KANSAS ST STE H154
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:KS
Practice Address - Zip Code:66043-1616
Practice Address - Country:US
Practice Address - Phone:678-861-6292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC009848101YP2500X
KSLCPC03708101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional