| Mount Vernon Family Counseling | |
|
104 2nd Ave Nw Mount Vernon IA 52314-1301 | |
| (319) 693-2266 | |
| Not Available |
| Full Name | Mount Vernon Family Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 104 2nd Ave Nw, Mount Vernon, Iowa |
| Authorized Official Name and Position | Tiffany Zarifkar (OWNER, MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 3196932266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Vernon Family Counseling 104 2nd Ave Nw Mount Vernon IA 52314-1301 Ph: (319) 693-2266 | Mount Vernon Family Counseling 104 2nd Ave Nw Mount Vernon IA 52314-1301 Ph: (319) 693-2266 |
| NPI Number | 1720516362 |
|---|---|
| Provider Enumeration Date | 05/26/2017 |
| Last Update Date | 07/24/2023 |
| Certification Date | 07/24/2023 |
| Medicare PECOS PAC ID | 8224473764 |
|---|---|
| Medicare Enrollment ID | O20240223003609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720516362 | NPI | - | NPPES |
| 0707139 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 001373 (Iowa) | Primary |
| Provider Name | Tiffany L Zarifkar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699046946 PECOS PAC ID: 7810358439 Enrollment ID: I20240223003578 |
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