Provider Demographics
NPI:1427848167
Name:HEADWAY THERAPY SERVICES, LLC
Entity type:Organization
Organization Name:HEADWAY THERAPY SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DOZIE
Authorized Official - Middle Name:
Authorized Official - Last Name:IWUAGWU
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LMAC
Authorized Official - Phone:316-358-9328
Mailing Address - Street 1:434 N OHIO AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-3938
Mailing Address - Country:US
Mailing Address - Phone:316-358-9328
Mailing Address - Fax:
Practice Address - Street 1:434 N OHIO AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3938
Practice Address - Country:US
Practice Address - Phone:316-358-9328
Practice Address - Fax:316-358-7244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty