| Journey Counseling Services Llc | |
|
555 W Cherry St Ste 3 North Liberty IA 52317-9800 | |
| (319) 541-7253 | |
| Not Available |
| Full Name | Journey Counseling Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 555 W Cherry St Ste 3, North Liberty, Iowa |
| Authorized Official Name and Position | Holly Smigel (OWNER/DIRECTOR) |
| Authorized Official Contact | 3195417253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Counseling Services Llc 1835 Carroll Ct North Liberty IA 52317-8637 Ph: (319) 541-7253 | Journey Counseling Services Llc 555 W Cherry St Ste 3 North Liberty IA 52317-9800 Ph: (319) 541-7253 |
| NPI Number | 1013276542 |
|---|---|
| Provider Enumeration Date | 05/03/2012 |
| Last Update Date | 06/04/2024 |
| Certification Date | 05/30/2024 |
| Medicare PECOS PAC ID | 8729520986 |
|---|---|
| Medicare Enrollment ID | O20240604001818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013276542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 001295 (Iowa) | Primary |
| Provider Name | Holly C Smigel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720379183 PECOS PAC ID: 9638611890 Enrollment ID: I20240604001919 |
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