Howerton Child And Family Therapy Llc | |
300 E 17th St S Ste 500 Newton IA 50208-4059 | |
(641) 732-2021 | |
Not Available |
Full Name | Howerton Child And Family Therapy Llc |
---|---|
Speciality | Social Worker |
Location | 300 E 17th St S Ste 500, Newton, Iowa |
Authorized Official Name and Position | Kristi Howerton (OWNER) |
Authorized Official Contact | 6417322021 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Howerton Child And Family Therapy Llc 300 E 17th St S Ste 500 Newton IA 50208-4059 Ph: (641) 732-2021 | Howerton Child And Family Therapy Llc 300 E 17th St S Ste 500 Newton IA 50208-4059 Ph: (641) 732-2021 |
NPI Number | 1467142158 |
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Provider Enumeration Date | 05/08/2023 |
Last Update Date | 10/16/2024 |
Certification Date | 10/16/2024 |
Medicare PECOS PAC ID | 1355708157 |
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Medicare Enrollment ID | O20230609002580 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467142158 | NPI | - | NPPES |
1124528526 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Kristi Howerton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1124528526 PECOS PAC ID: 1254743859 Enrollment ID: I20201223000163 |
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