Asbury Counseling And Evaluation Services, Llc | |
5900 Saratoga Rd Suite 4a Asbury IA 52002-2124 | |
(563) 588-3500 | |
(563) 588-3500 |
Full Name | Asbury Counseling And Evaluation Services, Llc |
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Speciality | Counselor |
Location | 5900 Saratoga Rd, Asbury, Iowa |
Authorized Official Name and Position | Rhonda Renee Gotto (OWNER) |
Authorized Official Contact | 5635883500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Asbury Counseling And Evaluation Services, Llc 5900 Saratoga Rd Suite 4a Asbury IA 52002-2124 Ph: (563) 588-3500 | Asbury Counseling And Evaluation Services, Llc 5900 Saratoga Rd Suite 4a Asbury IA 52002-2124 Ph: (563) 588-3500 |
NPI Number | 1326305269 |
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Provider Enumeration Date | 04/17/2012 |
Last Update Date | 04/17/2012 |
Medicare PECOS PAC ID | 8426212085 |
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Medicare Enrollment ID | O20120611000411 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326305269 | NPI | - | NPPES |
0736793 | Medicaid | IA | |
IB2101 | Other | IA | PTAN MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 06001 (Iowa) | Primary |
Provider Name | Rhonda R Gotto |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003879420 PECOS PAC ID: 7214978246 Enrollment ID: I20050519000449 |
Mental Health Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5900 Saratoga Rd Ste 11, Asbury, IA 52002 Phone: 563-231-3521 | |
Mental Health Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5900 Saratoga Rd Ste 11, Asbury, IA 52002 Phone: 563-583-7357 |