Provider Demographics
NPI:1225457682
Name:KING, ANNE (LCP)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:KING
Suffix:
Gender:F
Credentials:LCP
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:HARDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMLP
Mailing Address - Street 1:9415 E HARRY ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207-5089
Mailing Address - Country:US
Mailing Address - Phone:316-669-5047
Mailing Address - Fax:316-669-5404
Practice Address - Street 1:9415 E HARRY ST STE 404
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67207-5083
Practice Address - Country:US
Practice Address - Phone:316-669-5047
Practice Address - Fax:316-669-5404
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01520101YP2500X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103T00000XBehavioral Health & Social Service ProvidersPsychologist