| Emotional Health Partners, Llc | |
|
615 Grant Ave Waterloo IA 50702-2111 | |
| (319) 610-1116 | |
| Not Available |
| Full Name | Emotional Health Partners, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 615 Grant Ave, Waterloo, Iowa |
| Authorized Official Name and Position | Emily Katharine Allaire (OWNER/OPERATOR) |
| Authorized Official Contact | 3194358212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emotional Health Partners, Llc 615 Grant Ave Waterloo IA 50702-2111 Ph: (319) 435-8212 | Emotional Health Partners, Llc 615 Grant Ave Waterloo IA 50702-2111 Ph: (319) 610-1116 |
| NPI Number | 1912401803 |
|---|---|
| Provider Enumeration Date | 03/23/2018 |
| Last Update Date | 10/08/2018 |
| Medicare PECOS PAC ID | 8921362377 |
|---|---|
| Medicare Enrollment ID | O20180510001595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912401803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 007059 (Iowa) | Primary |
| Provider Name | Jenna Z Berendzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093003055 PECOS PAC ID: 0840449948 Enrollment ID: I20121004000820 |
| Provider Name | Emily K Allaire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083851083 PECOS PAC ID: 9830453281 Enrollment ID: I20180510001675 |
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