| Integrative Minds Plc | |
|
213 Main St La Porte City IA 50651-1235 | |
| (319) 505-5602 | |
| (319) 575-6100 |
| Full Name | Integrative Minds Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 213 Main St, La Porte City, Iowa |
| Authorized Official Name and Position | Mariah Fury-swisher (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 3195055602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Minds Plc 3004 Cypress Ave Cedar Falls IA 50613-1105 Ph: (563) 542-2402 | Integrative Minds Plc 213 Main St La Porte City IA 50651-1235 Ph: (319) 505-5602 |
| NPI Number | 1538838925 |
|---|---|
| Provider Enumeration Date | 09/08/2021 |
| Last Update Date | 11/09/2021 |
| Certification Date | 11/09/2021 |
| Medicare PECOS PAC ID | 5597153015 |
|---|---|
| Medicare Enrollment ID | O20211102001182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538838925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kristi M Clements |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629251574 PECOS PAC ID: 3274835244 Enrollment ID: I20160107001623 |
| Provider Name | Mariah Ann Fury-swisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053836239 PECOS PAC ID: 0840550497 Enrollment ID: I20180131000328 |
Ludwig Counseling & Consulting, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Main St, La Porte City, IA 50651 Phone: 319-830-6801 |