| Mary Middleton Counseling, Llc | |
|
103 E State St Ste 624 Mason City IA 50401-3327 | |
| (641) 450-6007 | |
| Not Available |
| Full Name | Mary Middleton Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 103 E State St Ste 624, Mason City, Iowa |
| Authorized Official Name and Position | Mary Middleton (OWNER) |
| Authorized Official Contact | 6414506007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Middleton Counseling, Llc 103 E State St Ste 624 Mason City IA 50401-3327 Ph: (641) 450-6007 | Mary Middleton Counseling, Llc 103 E State St Ste 624 Mason City IA 50401-3327 Ph: (641) 450-6007 |
| NPI Number | 1396420634 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Medicare PECOS PAC ID | 1153767884 |
|---|---|
| Medicare Enrollment ID | O20240315002038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396420634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Mary Middleton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598124257 PECOS PAC ID: 2062858798 Enrollment ID: I20240315002261 |
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