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1890 E Main St Lake City IA 51449-7706 | |
| (712) 464-8961 | |
| (712) 464-3326 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1890 E Main St, Lake City, Iowa |
| Authorized Official Name and Position | Aaron D Mchone (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8004828305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
720 Kenyon Rd Fort Dodge IA 50501-5759 Ph: (800) 482-8305 | 1890 E Main St Lake City IA 51449-7706 Ph: (712) 464-8961 |
| NPI Number | 1588926448 |
|---|---|
| Provider Enumeration Date | 06/15/2012 |
| Last Update Date | 11/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588926448 | NPI | - | NPPES |
| 07466 | Other | IA | WELLMARK BC/BS |
| 0159608 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Amy Lapham Counseling And Assessment Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 W Madison St, Lake City, IA 51449 Phone: 515-979-5412 |