| Authentic Growth Therapy Collective Pllc | |
|
950 Office Park Rd Ste 325 West Des Moines IA 50265-2567 | |
| (515) 505-3432 | |
| Not Available |
| Full Name | Authentic Growth Therapy Collective Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 950 Office Park Rd Ste 325, West Des Moines, Iowa |
| Authorized Official Name and Position | Hope Hunt (OWNER) |
| Authorized Official Contact | 5155053432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Growth Therapy Collective Pllc 950 Office Park Rd Ste 325 West Des Moines IA 50265-2567 Ph: (515) 505-3432 | Authentic Growth Therapy Collective Pllc 950 Office Park Rd Ste 325 West Des Moines IA 50265-2567 Ph: (515) 505-3432 |
| NPI Number | 1043995087 |
|---|---|
| Provider Enumeration Date | 06/19/2023 |
| Last Update Date | 06/19/2023 |
| Certification Date | 06/17/2023 |
| Medicare PECOS PAC ID | 4284094889 |
|---|---|
| Medicare Enrollment ID | O20230713003973 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043995087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Hope A Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578122735 PECOS PAC ID: 1557751245 Enrollment ID: I20211213001634 |
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