Family Wellbeing Associates, Llc | |
723 Pacha Pkwy North Liberty IA 52317-4796 | |
(319) 775-0074 | |
(319) 774-6775 |
Full Name | Family Wellbeing Associates, Llc |
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Speciality | Social Worker |
Location | 723 Pacha Pkwy, North Liberty, Iowa |
Authorized Official Name and Position | Jennifer L Theurer (OWNER) |
Authorized Official Contact | 3197750074 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Wellbeing Associates, Llc 27 Kearney Ct Iowa City IA 52246-2799 Ph: (319) 551-2498 | Family Wellbeing Associates, Llc 723 Pacha Pkwy North Liberty IA 52317-4796 Ph: (319) 775-0074 |
NPI Number | 1386125318 |
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Provider Enumeration Date | 08/28/2018 |
Last Update Date | 02/23/2024 |
Certification Date | 02/23/2024 |
Medicare PECOS PAC ID | 4385989102 |
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Medicare Enrollment ID | O20181226002103 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386125318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Jennifer L Theurer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710247879 PECOS PAC ID: 9335440932 Enrollment ID: I20151228001190 |
Provider Name | Rochelle Renne Honey-arcement |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285252155 PECOS PAC ID: 2668812827 Enrollment ID: I20240504000203 |
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