Strong Counseling, Plc | |
595 Ashley Ct Ste 5 North Liberty IA 52317-4758 | |
(319) 455-6652 | |
Not Available |
Full Name | Strong Counseling, Plc |
---|---|
Speciality | Social Worker |
Location | 595 Ashley Ct Ste 5, North Liberty, Iowa |
Authorized Official Name and Position | Nicole Strong (SOLE MEMBER) |
Authorized Official Contact | 7125401622 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Strong Counseling, Plc 220 N Mckenzie Ln North Liberty IA 52317-8910 Ph: (712) 540-1622 | Strong Counseling, Plc 595 Ashley Ct Ste 5 North Liberty IA 52317-4758 Ph: (319) 455-6652 |
NPI Number | 1942977509 |
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Provider Enumeration Date | 08/23/2021 |
Last Update Date | 08/23/2021 |
Certification Date | 08/23/2021 |
Medicare PECOS PAC ID | 9032516125 |
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Medicare Enrollment ID | O20210915003137 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942977509 | NPI | - | NPPES |
1760861892 | Other | IA | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Nicole Lynne Strong |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760861892 PECOS PAC ID: 4688930266 Enrollment ID: I20171115000444 |
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