MIDWEST MENTAL HEALTH LLC NPI 1144695040

NPI Information

NPI: 1144695040
Provider Name: MIDWEST MENTAL HEALTH LLC

Doing Business As: MIDWEST MENTAL HEALTH

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
523 W SHERIDAN AVE
SHENANDOAH, IA
ZIP 51601
Phone: (712) 246-0159
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MIDWEST MENTAL HEALTH LLC is a mental health counselor in Shenandoah, IA. MIDWEST MENTAL HEALTH LLC NPI is 1144695040. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Midwest Mental Health.

The provider's business location address is:

523 W SHERIDAN AVE
SHENANDOAH, IA
ZIP 51601-705
Phone: (712) 246-0159

The provider's authorized official is Kindra Anisa Weston .
The authorized official title is Owner/mental Health Counselor and has the following contact phone number (712) 350-3771.

The CLIA number assigned to this NPI record is 16D2256550 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/3/2015 and was last updated on 12/3/2015.

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	077004	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: 5/5/2024

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