| Clear Mind Therapy Llc | |
|
300 W Broadway Ste 706 Council Bluffs IA 51503-4489 | |
| (712) 256-9902 | |
| (712) 256-9903 |
| Full Name | Clear Mind Therapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 300 W Broadway Ste 706, Council Bluffs, Iowa |
| Authorized Official Name and Position | Ciara Warden (CO OWNER) |
| Authorized Official Contact | 7122569902 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Mind Therapy Llc 300 W Broadway Ste 706 Council Bluffs IA 51503-4489 Ph: (712) 256-9902 | Clear Mind Therapy Llc 300 W Broadway Ste 706 Council Bluffs IA 51503-4489 Ph: (712) 256-9902 |
| NPI Number | 1407208390 |
|---|---|
| Provider Enumeration Date | 07/05/2016 |
| Last Update Date | 07/05/2016 |
| Medicare PECOS PAC ID | 4486920089 |
|---|---|
| Medicare Enrollment ID | O20171026001747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407208390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 001147 (Iowa) | Primary |
| 1041C0700X | Social Worker - Clinical | 007763 (Iowa) | Secondary |
| Provider Name | Ciara Warden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316205743 PECOS PAC ID: 5395011993 Enrollment ID: I20171026001819 |
| Provider Name | Kathryn Robbins Case |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275933145 PECOS PAC ID: 3779849179 Enrollment ID: I20171116002535 |
| Provider Name | Natalie Renee Bussing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316377286 PECOS PAC ID: 8123374626 Enrollment ID: I20180712002135 |
| Provider Name | Robert Scott Andrews |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053568345 PECOS PAC ID: 2668824848 Enrollment ID: I20240125003208 |
| Provider Name | Tracy Gilman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295357069 PECOS PAC ID: 9436512142 Enrollment ID: I20240513002727 |
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