| Skt Enterprises, Inc | |
|
12447 Stratford Dr Clive IA 50325 | |
| (319) 855-3549 | |
| Not Available |
| Full Name | Skt Enterprises, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12447 Stratford Dr, Clive, Iowa |
| Authorized Official Name and Position | Sam Tierney (TREASURER) |
| Authorized Official Contact | 3198553549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skt Enterprises, Inc 8851 Golf Cir West Des Moines IA 50266-1532 Ph: (319) 855-3549 | Skt Enterprises, Inc 12447 Stratford Dr Clive IA 50325 Ph: (319) 855-3549 |
| NPI Number | 1447965488 |
|---|---|
| Provider Enumeration Date | 01/13/2023 |
| Last Update Date | 01/13/2023 |
| Certification Date | 01/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447965488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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