| Tristate Counseling & Consulting | |
|
15320 White Oak Dr Peosta IA 52068-7103 | |
| (319) 330-1082 | |
| Not Available |
| Full Name | Tristate Counseling & Consulting |
|---|---|
| Speciality | Social Worker |
| Location | 15320 White Oak Dr, Peosta, Iowa |
| Authorized Official Name and Position | Melissa M Anderson (OWNER OF ENTITY) |
| Authorized Official Contact | 3193301082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tristate Counseling & Consulting 15320 White Oak Dr Peosta IA 52068-7103 Ph: (319) 330-1082 | Tristate Counseling & Consulting 15320 White Oak Dr Peosta IA 52068-7103 Ph: (319) 330-1082 |
| NPI Number | 1790445021 |
|---|---|
| Provider Enumeration Date | 12/28/2021 |
| Last Update Date | 12/28/2021 |
| Certification Date | 12/28/2021 |
| Medicare PECOS PAC ID | 2769873785 |
|---|---|
| Medicare Enrollment ID | O20211230002034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790445021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melissa M Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063437069 PECOS PAC ID: 7113077595 Enrollment ID: I20090605000316 |
Cita Ministries Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7462 Thundervalley Drive, Suite 4, Peosta, IA 52068 Phone: 319-536-3534 |