Provider Demographics
NPI:1285422931
Name:CASE VALLEY WELLNESS LLC
Entity type:Organization
Organization Name:CASE VALLEY WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RILEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:316-295-8122
Mailing Address - Street 1:504 S CRANMER ST
Mailing Address - Street 2:
Mailing Address - City:CONWAY SPRINGS
Mailing Address - State:KS
Mailing Address - Zip Code:67031-8284
Mailing Address - Country:US
Mailing Address - Phone:316-295-8122
Mailing Address - Fax:
Practice Address - Street 1:145 N MAIN ST STE 141
Practice Address - Street 2:
Practice Address - City:HAYSVILLE
Practice Address - State:KS
Practice Address - Zip Code:67060-1202
Practice Address - Country:US
Practice Address - Phone:316-295-8122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty