| Antonia L. Valadez, Lisw, Llc | |
|
4685 Merle Hay Rd Ste 108 Des Moines IA 50322-1982 | |
| (515) 344-4483 | |
| (515) 724-7991 |
| Full Name | Antonia L. Valadez, Lisw, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4685 Merle Hay Rd Ste 108, Des Moines, Iowa |
| Authorized Official Name and Position | Antonia L Valadez (OWNER/PROVIDER) |
| Authorized Official Contact | 5153444483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Antonia L. Valadez, Lisw, Llc 4608 Se 3rd St Des Moines IA 50315-4157 Ph: (515) 344-4483 | Antonia L. Valadez, Lisw, Llc 4685 Merle Hay Rd Ste 108 Des Moines IA 50322-1982 Ph: (515) 344-4483 |
| NPI Number | 1326660903 |
|---|---|
| Provider Enumeration Date | 05/17/2020 |
| Last Update Date | 05/17/2020 |
| Certification Date | 05/17/2020 |
| Medicare PECOS PAC ID | 2264855626 |
|---|---|
| Medicare Enrollment ID | O20200702001170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326660903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Antonia Luz Valadez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508207168 PECOS PAC ID: 3173946530 Enrollment ID: I20200702001309 |
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