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ADVANCE THERAPY MENTAL HEALTH AND RECOVERY SERVICES LLC NPI 1013181502


NPI Information

NPI: 1013181502
Provider Name: ADVANCE THERAPY MENTAL HEALTH AND RECOVERY SERVICES LLC

Doing Business As: ADVANCE THERAPY MENTAL HEALTH AND RECOVERY SERVICES LLC

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
705 DOUGLAS ST STE 325
BENSON BLDG
SIOUX CITY, IA
ZIP 51101
Phone: (712) 277-3200
Get Directions

ADVANCE THERAPY MENTAL HEALTH AND RECOVERY SERVICES LLC is a clinical social worker in Sioux City, IA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. ADVANCE THERAPY MENTAL HEALTH AND RECOVERY SERVICES LLC NPI is 1013181502. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advance Therapy Mental Health And Recovery Services Llc.

The provider's business location address is:

705 DOUGLAS ST STE 325
BENSON BLDG
SIOUX CITY, IA
ZIP 51101-016
Phone: (712) 277-3200
Fax: (712) 277-3208

The provider's authorized official is Bill Coad .
The authorized official title is Manager and has the following contact phone number (712) 277-3200.

The enumeration date for this NPI number is 4/16/2008 and was last updated on 4/20/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinical01284IOWAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11041CO7004OTHERIOWACLINICAL SOCIAL WORK
280OTHERCMS CODE
3=========MEDICAIDIOWA
4I6668MEDICARE PINIOWA
52190223MEDICAIDIOWA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.