| Heartland Mental Health Therapy Llc | |
|
328 Main St Suite # 214 Ames IA 50010-6162 | |
| (515) 520-9703 | |
| Not Available |
| Full Name | Heartland Mental Health Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 328 Main St, Ames, Iowa |
| Authorized Official Name and Position | John Mcinnerney (OWNER/THERAPIST) |
| Authorized Official Contact | 5155569580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Mental Health Therapy Llc 334 24th St Ames IA 50010-4867 Ph: () - | Heartland Mental Health Therapy Llc 328 Main St Suite # 214 Ames IA 50010-6162 Ph: (515) 520-9703 |
| NPI Number | 1780119461 |
|---|---|
| Provider Enumeration Date | 05/01/2017 |
| Last Update Date | 05/09/2017 |
| Medicare PECOS PAC ID | 9032476007 |
|---|---|
| Medicare Enrollment ID | O20171129001451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780119461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 13009 (Iowa) | Secondary |
| 1041C0700X | Social Worker - Clinical | 072644 (Iowa) | Primary |
| Provider Name | John F Mcinnerney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326453986 PECOS PAC ID: 1850675059 Enrollment ID: I20170308000435 |
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