| Waves Healing Therapy, Llc | |
|
105 E Butler St Manchester IA 52057-1606 | |
| (563) 929-6571 | |
| Not Available |
| Full Name | Waves Healing Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 105 E Butler St, Manchester, Iowa |
| Authorized Official Name and Position | Stefanie Dingbaum (LISCENCED INDEPENDENT SOCIAL WORKER) |
| Authorized Official Contact | 5636084281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waves Healing Therapy, Llc 217 Summit St Earlville IA 52041-2562 Ph: (563) 608-4281 | Waves Healing Therapy, Llc 105 E Butler St Manchester IA 52057-1606 Ph: (563) 929-6571 |
| NPI Number | 1053097113 |
|---|---|
| Provider Enumeration Date | 06/23/2023 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Medicare PECOS PAC ID | 1153760442 |
|---|---|
| Medicare Enrollment ID | O20240419000670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053097113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stefanie L Dingbaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942986096 PECOS PAC ID: 2769831106 Enrollment ID: I20231212000279 |
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