Interconnections Therapy Llc | |
115 Cedar Ln Ste B Sibley IA 51249-1013 | |
(712) 754-2400 | |
(712) 754-4612 |
Full Name | Interconnections Therapy Llc |
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Speciality | Marriage & Family Therapist |
Location | 115 Cedar Ln Ste B, Sibley, Iowa |
Authorized Official Name and Position | Amanda Ten Napel (OWNER/OPERATOR) |
Authorized Official Contact | 7127542400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Interconnections Therapy Llc 115 Cedar Ln Ste B Sibley IA 51249-1013 Ph: (712) 754-2400 | Interconnections Therapy Llc 115 Cedar Ln Ste B Sibley IA 51249-1013 Ph: (712) 754-2400 |
NPI Number | 1457129991 |
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Provider Enumeration Date | 12/14/2023 |
Last Update Date | 12/14/2023 |
Certification Date | 12/14/2023 |
Medicare PECOS PAC ID | 4789037664 |
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Medicare Enrollment ID | O20240126002078 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457129991 | NPI | - | NPPES |
2223815 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Provider Name | Amanda Ten Napel |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1780195388 PECOS PAC ID: 5698128577 Enrollment ID: I20240126002167 |
Orhc Specialty Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Cedar Ln, Suite A, Sibley, IA 51249 Phone: 712-754-2574 |