| Church's Therapy Services, Plc | |
|
1109 Johnson St Keokuk IA 52632-4654 | |
| (319) 795-4077 | |
| Not Available |
| Full Name | Church's Therapy Services, Plc |
|---|---|
| Speciality | Counselor |
| Location | 1109 Johnson St, Keokuk, Iowa |
| Authorized Official Name and Position | Denise Lynn Stutes (OWNER) |
| Authorized Official Contact | 3197954077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Church's Therapy Services, Plc 1109 Johnson St Keokuk IA 52632-4654 Ph: (319) 795-4077 | Church's Therapy Services, Plc 1109 Johnson St Keokuk IA 52632-4654 Ph: (319) 795-4077 |
| NPI Number | 1831964717 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 11/20/2023 |
| Certification Date | 11/20/2023 |
| Medicare PECOS PAC ID | 3274973243 |
|---|---|
| Medicare Enrollment ID | O20240425000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831964717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Denise L Stutes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497119994 PECOS PAC ID: 9638461338 Enrollment ID: I20160715000849 |
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