| Advance Therapy Mental Health And Recovery Services Llc | |
|
705 Douglas St Ste 325 Benson Bldg Sioux City IA 51101-1016 | |
| (712) 277-3200 | |
| (712) 277-3208 |
| Full Name | Advance Therapy Mental Health And Recovery Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 705 Douglas St Ste 325, Sioux City, Iowa |
| Authorized Official Name and Position | Bill Coad (MANAGER) |
| Authorized Official Contact | 7122773200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Therapy Mental Health And Recovery Services Llc 705 Douglas St Ste 325 Benson Bldg Sioux City IA 51101-1016 Ph: (712) 277-3200 | Advance Therapy Mental Health And Recovery Services Llc 705 Douglas St Ste 325 Benson Bldg Sioux City IA 51101-1016 Ph: (712) 277-3200 |
| NPI Number | 1013181502 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013181502 | NPI | - | NPPES |
| 2190223 | Medicaid | IA | |
| 1041CO7004 | Other | IA | CLINICAL SOCIAL WORK |
| 80 | Other | CMS CODE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 01284 (Iowa) | Primary |
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