KANESVILLE THERAPY LLC NPI 1760668768

NPI Information

NPI: 1760668768
Provider Name: KANESVILLE THERAPY LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
35 MAIN PLACE
SUITE 100 OMNI CENTER BUSINESS PARK
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (712) 328-9205
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KANESVILLE THERAPY LLC is a mental health counselor in Council Bluffs, IA. KANESVILLE THERAPY LLC NPI is 1760668768. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

35 MAIN PLACE
SUITE 100 OMNI CENTER BUSINESS PARK
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (712) 328-9205

The provider's authorized official is Carolyn Ann Andersen Burgher .
The authorized official title is Mental Health Counselor and has the following contact phone number (712) 328-9205.

The enumeration date for this NPI number is 1/21/2008 and was last updated on 4/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	1750	NEBRASKA	No
2	101YM0800X	Counselor	Mental Health	376	NEBRASKA	No
3	101YM0800X	Counselor	Mental Health	00169	IOWA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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