| Purposely Patient, Llc | |
|
100 Pecan Lane Apt 3 Menden IA 51553 | |
| (402) 403-2800 | |
| Not Available |
| Full Name | Purposely Patient, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 100 Pecan Lane Apt 3, Menden, Iowa |
| Authorized Official Name and Position | Natalie Erdahl (OWNER/PROVIDER) |
| Authorized Official Contact | 4024032800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purposely Patient, Llc 5001 Sergeant Rd Ste 50 Sioux City IA 51106-4777 Ph: (402) 403-2800 | Purposely Patient, Llc 100 Pecan Lane Apt 3 Menden IA 51553 Ph: (402) 403-2800 |
| NPI Number | 1336900844 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336900844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |