| Mid-iowa Family Therapy Clinic, Inc. | |
|
410 12th St Perry IA 50220-7586 | |
| (515) 465-5739 | |
| (515) 465-5744 |
| Full Name | Mid-iowa Family Therapy Clinic, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 410 12th St, Perry, Iowa |
| Authorized Official Name and Position | Christine Ann Secrist (ADMINISTRATOR) |
| Authorized Official Contact | 5154655739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-iowa Family Therapy Clinic, Inc. Po Box 416 Perry IA 50220-0416 Ph: (515) 465-5739 | Mid-iowa Family Therapy Clinic, Inc. 410 12th St Perry IA 50220-7586 Ph: (515) 465-5739 |
| NPI Number | 1003999624 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 04/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003999624 | NPI | - | NPPES |
| 0467035 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Iowa) | Primary |
Counseling For Psychological Resilience Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 602 Otley Ave, Perry, IA 50220 Phone: 515-992-6638 | |
Advanced Therapy Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 12th St, Perry, IA 50220 Phone: 515-250-5193 Fax: 515-283-2256 | |
Institute For Therapy And Psychological Solutions L.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 12th St, Perry, IA 50220 Phone: 515-465-5739 Fax: 515-465-5744 |