| Wilson Counseling Services, Llc | |
|
1024 Court Ave Marengo IA 52301-1438 | |
| (319) 800-8522 | |
| Not Available |
| Full Name | Wilson Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1024 Court Ave, Marengo, Iowa |
| Authorized Official Name and Position | Angela M Wilson (OWNER/THERAPIST) |
| Authorized Official Contact | 3197779268 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Counseling Services, Llc 1024 Court Ave Marengo IA 52301-1438 Ph: (319) 800-8522 | Wilson Counseling Services, Llc 1024 Court Ave Marengo IA 52301-1438 Ph: (319) 800-8522 |
| NPI Number | 1861909194 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 02/03/2021 |
| Certification Date | 02/03/2021 |
| Medicare PECOS PAC ID | 6103157599 |
|---|---|
| Medicare Enrollment ID | O20191016002292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861909194 | NPI | - | NPPES |
| 600672671 | Medicaid | IA | |
| 1811205792 | Other | IA | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 06488 (Iowa) | Primary |
| Provider Name | Angela M Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811205792 PECOS PAC ID: 7517147507 Enrollment ID: I20110208000841 |
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