Profound Pathways | |
8450 Hickman Rd Ste 10 Clive IA 50325-4307 | |
(515) 721-8288 | |
Not Available |
Full Name | Profound Pathways |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 8450 Hickman Rd Ste 10, Clive, Iowa |
Authorized Official Name and Position | Brooklynn Mckinney (OWNER) |
Authorized Official Contact | 5157218828 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Profound Pathways 8450 Hickman Rd Ste 10 Clive IA 50325-4307 Ph: (515) 721-8288 | Profound Pathways 8450 Hickman Rd Ste 10 Clive IA 50325-4307 Ph: (515) 721-8288 |
NPI Number | 1982418687 |
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Provider Enumeration Date | 02/03/2025 |
Last Update Date | 02/03/2025 |
Certification Date | 02/03/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982418687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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