Shanen Taylor, | |
304 S Locust St, Glenwood, IA 51534-1825 | |
(712) 527-2823 | |
(712) 527-4193 |
Full Name | Shanen Taylor |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 304 S Locust St, Glenwood, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457923153 | NPI | - | NPPES |
109464 | Other | IA | LICENSURE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 109464 (Iowa) | Primary |
Entity Name | Family Connections Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740357300 PECOS PAC ID: 9234550419 Enrollment ID: O20200526000183 |
Mailing Address | Practice Location Address |
---|---|
Shanen Taylor, 304 S Locust St, Glenwood, IA 51534-1825 Ph: (712) 527-2823 | Shanen Taylor, 304 S Locust St, Glenwood, IA 51534-1825 Ph: (712) 527-2823 |
Celosia Johnson, Counselor Medicare: Medicare Enrolled Practice Location: 207 S Locust St, Glenwood, IA 51534 Phone: 712-527-2823 | |
Kimberly Kay Durbin, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 400 Sivers Rd, Glenwood, IA 51534 Phone: 402-676-2069 | |
Brett A Phillips, LISW, LMHP Counselor Medicare: Accepting Medicare Assignments Practice Location: 501 Tyson St, Glenwood, IA 51534 Phone: 712-527-3030 | |
Megan Lianne Ruff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 S Locust St, Glenwood, IA 51534 Phone: 712-256-4420 | |
Dana Sharp, TLMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 S Locust St, Glenwood, IA 51534 Phone: 712-527-2823 Fax: 712-527-4193 | |
Daniel Hutchings, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 707 Sharp St, Glenwood, IA 51534 Phone: 712-527-4886 Fax: 712-302-9234 |