Full Heart Family Therapy And Renewal Center Llc | |
602 Se Delaware Ave Ankeny IA 50021-9364 | |
(515) 705-0174 | |
Not Available |
Full Name | Full Heart Family Therapy And Renewal Center Llc |
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Speciality | Marriage & Family Therapist |
Location | 602 Se Delaware Ave, Ankeny, Iowa |
Authorized Official Name and Position | Mary Meyer (OWNER) |
Authorized Official Contact | 5157050174 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Full Heart Family Therapy And Renewal Center Llc 602 Se Delaware Ave Ankeny IA 50021-9364 Ph: (515) 705-0174 | Full Heart Family Therapy And Renewal Center Llc 602 Se Delaware Ave Ankeny IA 50021-9364 Ph: (515) 705-0174 |
NPI Number | 1679048466 |
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Provider Enumeration Date | 10/08/2018 |
Last Update Date | 10/08/2018 |
Medicare PECOS PAC ID | 6608117353 |
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Medicare Enrollment ID | O20190408001437 |
Identifier | Type | State | Issuer |
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1679048466 | NPI | - | NPPES |
Provider Name | Kathy Greer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568827434 PECOS PAC ID: 7911246814 Enrollment ID: I20190311001045 |
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