| Innovative Family Therapy & Play Therapy Center Llc | |
|
409 N 4th St Ste 108 Burlington IA 52601-5255 | |
| (319) 759-9414 | |
| Not Available |
| Full Name | Innovative Family Therapy & Play Therapy Center Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 409 N 4th St Ste 108, Burlington, Iowa |
| Authorized Official Name and Position | Theresa Reckling (OWNER/LMFT) |
| Authorized Official Contact | 3197599414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Family Therapy & Play Therapy Center Llc Po Box 12 Burlington IA 52601-0012 Ph: (319) 759-9414 | Innovative Family Therapy & Play Therapy Center Llc 409 N 4th St Ste 108 Burlington IA 52601-5255 Ph: (319) 759-9414 |
| NPI Number | 1497219653 |
|---|---|
| Provider Enumeration Date | 01/22/2019 |
| Last Update Date | 01/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497219653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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