| Purple Clover Counseling Llc | |
|
260 33rd Ave Sw Ste X Cedar Rapids IA 52404-4646 | |
| (319) 382-0918 | |
| Not Available |
| Full Name | Purple Clover Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 260 33rd Ave Sw Ste X, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Cara Kayse (THERAPIST/OWNER) |
| Authorized Official Contact | 3193820918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Purple Clover Counseling Llc 260 33rd Ave Sw Ste X Cedar Rapids IA 52404-4646 Ph: (319) 382-0918 | Purple Clover Counseling Llc 260 33rd Ave Sw Ste X Cedar Rapids IA 52404-4646 Ph: (319) 382-0918 |
| NPI Number | 1669225157 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/06/2024 |
| Medicare PECOS PAC ID | 7719328244 |
|---|---|
| Medicare Enrollment ID | O20240514003886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669225157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Cara Kathleen Kayse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346875333 PECOS PAC ID: 2264873793 Enrollment ID: I20240514003925 |
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