| Prairie Home Wellness And Counseling | |
|
218 W 1st St Ste A Monticello IA 52310-1401 | |
| (319) 975-8705 | |
| Not Available |
| Full Name | Prairie Home Wellness And Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 218 W 1st St Ste A, Monticello, Iowa |
| Authorized Official Name and Position | Lauren Beth Welter (LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 3194809694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Home Wellness And Counseling 218 W 1st St Ste A Monticello IA 52310-1401 Ph: (319) 975-8705 | Prairie Home Wellness And Counseling 218 W 1st St Ste A Monticello IA 52310-1401 Ph: (319) 975-8705 |
| NPI Number | 1992203061 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 01/24/2018 |
| Medicare PECOS PAC ID | 0143589994 |
|---|---|
| Medicare Enrollment ID | O20180124001117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992203061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 079523 (Iowa) | Primary |
| Provider Name | Lauren B Welter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962884445 PECOS PAC ID: 5395032528 Enrollment ID: I20161003000336 |
| Provider Name | Lacy Shay Doyle |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770203069 PECOS PAC ID: 0042695611 Enrollment ID: I20240102001777 |
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