| Thein Therapy Llc | |
|
123 E Main St Fredericksburg IA 50630-7701 | |
| (563) 237-5157 | |
| Not Available |
| Full Name | Thein Therapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 123 E Main St, Fredericksburg, Iowa |
| Authorized Official Name and Position | Laurie D Thein (OWNER) |
| Authorized Official Contact | 5632375157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thein Therapy Llc 123 E Main St # 155 Fredericksburg IA 50630-7701 Ph: (563) 237-5157 | Thein Therapy Llc 123 E Main St Fredericksburg IA 50630-7701 Ph: (563) 237-5157 |
| NPI Number | 1609629435 |
|---|---|
| Provider Enumeration Date | 04/10/2024 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Medicare PECOS PAC ID | 3375085491 |
|---|---|
| Medicare Enrollment ID | O20240604004312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609629435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Laurie D Thein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386811321 PECOS PAC ID: 9537517826 Enrollment ID: I20240627001786 |
Pathways Behavioral Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 S Washington Ave, Fredericksburg, IA 50630 Phone: 319-235-6571 |