Angela M Wicks, LMHC | |
709 W Main St, Manchester, IA 52057-1526 | |
(563) 927-7330 | |
(563) 927-7409 |
Full Name | Angela M Wicks |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 709 W Main St, Manchester, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508040940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 00980 (Iowa) | Primary |
Entity Name | Delaware County Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982667929 PECOS PAC ID: 2062316375 Enrollment ID: O20031119000881 |
Mailing Address | Practice Location Address |
---|---|
Angela M Wicks, LMHC 709 W Main St, Manchester, IA 52057-1526 Ph: (563) 927-7330 | Angela M Wicks, LMHC 709 W Main St, Manchester, IA 52057-1526 Ph: (563) 927-7330 |
Richelle C Bouska, MHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 709 W Main St, Manchester, IA 52057 Phone: 563-927-7330 Fax: 563-927-7409 | |
Sarah L Phelps, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 721 S 5th St, Manchester, IA 52057 Phone: 563-927-6700 Fax: 563-927-6703 | |
Debra Prier, IADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 909 W Main St, Suite 1, Manchester, IA 52057 Phone: 563-927-5112 Fax: 563-927-3340 | |
Ms. Cynthia K Mckenzie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 909 W Main St Ste 1, Box 31, Manchester, IA 52057 Phone: 563-927-5112 | |
Randi Burns, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 721 S 5th St, Manchester, IA 52057 Phone: 563-927-6700 Fax: 563-927-6703 | |
Diane Thomas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1866 Honey Creek Rd, Manchester, IA 52057 Phone: 563-920-0872 |