RENAE CARRIE LARSEN LMHC LIMHP NPI 1952873655

NPI Information

NPI: 1952873655
Provider Name: RENAE CARRIE LARSEN, LMHC, LIMHP
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
508 S MAIN ST
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (712) 352-2110
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Renae Carrie Larsen, LMHC, LIMHP is a mental health counselor in Council Bluffs, IA. Renae Carrie Larsen, LMHC, LIMHP NPI is 1952873655. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

508 S MAIN ST
COUNCIL BLUFFS, IA
ZIP 51503-507
Phone: (712) 352-2110
Fax: (712) 352-1688

The enumeration date for this NPI number is 12/19/2018 and was last updated on 7/13/2023.

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	092299	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1510769	MEDICAID	IOWA

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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