| Ollendick Counseling Llc | |
|
805 Century Dr Ste 5 Dubuque IA 52002-3771 | |
| (563) 590-5998 | |
| (563) 726-7384 |
| Full Name | Ollendick Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 805 Century Dr Ste 5, Dubuque, Iowa |
| Authorized Official Name and Position | Lori L Ollendick (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 5635905998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ollendick Counseling Llc 805 Century Dr Ste 5 Dubuque IA 52002-3771 Ph: (563) 590-5998 | Ollendick Counseling Llc 805 Century Dr Ste 5 Dubuque IA 52002-3771 Ph: (563) 590-5998 |
| NPI Number | 1538933999 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 11/08/2023 |
| Certification Date | 11/08/2023 |
| Medicare PECOS PAC ID | 1254780307 |
|---|---|
| Medicare Enrollment ID | O20231214000789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538933999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lori L Ollendick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639513401 PECOS PAC ID: 2163871211 Enrollment ID: I20231214000874 |
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