Provider Demographics
NPI:1194165175
Name:MCKINLEY, CHANDLER AREANA
Entity type:Individual
Prefix:
First Name:CHANDLER
Middle Name:AREANA
Last Name:MCKINLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 SW 29TH ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-2078
Mailing Address - Country:US
Mailing Address - Phone:785-289-5250
Mailing Address - Fax:
Practice Address - Street 1:3601 SW 29TH ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-2078
Practice Address - Country:US
Practice Address - Phone:785-249-6401
Practice Address - Fax:785-272-7912
Is Sole Proprietor?:No
Enumeration Date:2013-07-05
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
KS11052104100000X
KS063551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No104100000XBehavioral Health & Social Service ProvidersSocial Worker