New Directions Counseling Services, Pllc. | |
1310 Solar Drive Waterloo IA 50701 | |
(319) 232-2086 | |
(319) 232-6846 |
Full Name | New Directions Counseling Services, Pllc. |
---|---|
Speciality | Community/Behavioral Health |
Location | 1310 Solar Drive, Waterloo, Iowa |
Authorized Official Name and Position | Warren H Phillips (PRESIDENT) |
Authorized Official Contact | 5152331122 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
New Directions Counseling Services, Pllc. 1310 Solar Drive Waterloo IA 50701 Ph: (319) 232-2086 | New Directions Counseling Services, Pllc. 1310 Solar Drive Waterloo IA 50701 Ph: (319) 232-2086 |
NPI Number | 1255569331 |
---|---|
Provider Enumeration Date | 06/26/2009 |
Last Update Date | 01/23/2023 |
Certification Date | 01/23/2023 |
Medicare PECOS PAC ID | 4789918517 |
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Medicare Enrollment ID | O20190627000731 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255569331 | NPI | - | NPPES |
257058000 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 960 (Iowa) | Secondary |
251S00000X | Community/behavioral Health | 00399 (Iowa) | Primary |
Provider Name | John E Williams |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1346277829 PECOS PAC ID: 5092804211 Enrollment ID: I20071211000099 |
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