Joan Andres Therapy Services, Llc | |
400 Central Ave Nw Ste 1300 Orange City IA 51041-1331 | |
(712) 360-0399 | |
Not Available |
Full Name | Joan Andres Therapy Services, Llc |
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Speciality | Marriage & Family Therapist |
Location | 400 Central Ave Nw Ste 1300, Orange City, Iowa |
Authorized Official Name and Position | Joan Andres (OWNER/PROVIDER) |
Authorized Official Contact | 7123600399 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Joan Andres Therapy Services, Llc 400 Central Ave Nw Ste 1300 Orange City IA 51041-1331 Ph: (712) 360-0399 | Joan Andres Therapy Services, Llc 400 Central Ave Nw Ste 1300 Orange City IA 51041-1331 Ph: (712) 360-0399 |
NPI Number | 1639944630 |
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Provider Enumeration Date | 11/20/2023 |
Last Update Date | 11/20/2023 |
Certification Date | 11/20/2023 |
Medicare PECOS PAC ID | 4688024607 |
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Medicare Enrollment ID | O20240103000520 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639944630 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Provider Name | Joan Andres |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1013373463 PECOS PAC ID: 4385929686 Enrollment ID: I20240111001116 |
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