Mrs Misty Lynn Smith, BA | |
15 E Southridge Rd, Marshalltown, IA 50158-4550 | |
(641) 351-4003 | |
(641) 243-2115 |
Full Name | Mrs Misty Lynn Smith |
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Gender | Female |
Speciality | Counselor |
Location | 15 E Southridge Rd, Marshalltown, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154742989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Wild Spirit Counseling, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609518810 PECOS PAC ID: 4284075235 Enrollment ID: O20240508003500 |
Mailing Address | Practice Location Address |
---|---|
Mrs Misty Lynn Smith, BA 15 E Southridge Rd, Marshalltown, IA 50158-4550 Ph: (641) 351-4003 | Mrs Misty Lynn Smith, BA 15 E Southridge Rd, Marshalltown, IA 50158-4550 Ph: (641) 351-4003 |
Amy Bonin, M.S. - TLMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 N 4th Ave, Marshalltown, IA 50158 Phone: 641-752-5421 Fax: 641-752-7211 | |
Melinda Tullis, TCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 N 4th Ave, Marshalltown, IA 50158 Phone: 641-752-5421 Fax: 641-752-7211 | |
Darcy Maiden-parks, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 N 4th Ave, Marshalltown, IA 50158 Phone: 641-752-5421 Fax: 641-752-7211 | |
Ana Maria Huerta Lemus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 N 4th Ave, Marshalltown, IA 50158 Phone: 641-752-5421 Fax: 641-752-7211 | |
Kimberly Schaeffer, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 E Southridge Rd, Marshalltown, IA 50158 Phone: 641-351-4003 | |
Dawna Heil, LEMHC Counselor Medicare: Medicare Enrolled Practice Location: 9 N 4th Ave, Marshalltown, IA 50158 Phone: 641-752-1585 Fax: 641-752-9665 |