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1301 W Main St Lake City IA 51449-1585 | |
| (800) 482-8305 | |
| (515) 573-7898 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1301 W Main St, Lake City, Iowa |
| Authorized Official Name and Position | Aaron Mchone (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8004828305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
720 Kenyon Rd Fort Dodge IA 50501-5759 Ph: (800) 482-8305 | 1301 W Main St Lake City IA 51449-1585 Ph: (800) 482-8305 |
| NPI Number | 1427396845 |
|---|---|
| Provider Enumeration Date | 01/18/2013 |
| Last Update Date | 12/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427396845 | NPI | - | NPPES |
| 0159608 | Medicaid | IA | |
| 07466 | Other | IA | WELLMARK BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Amy Lapham Counseling And Assessment Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 W Madison St, Lake City, IA 51449 Phone: 515-979-5412 |