| Amanda Olson, LMHC | |
|
508 W Central Ave Ste B, Estherville, IA 51334-1834 | |
| (800) 592-0180 | |
| Not Available |
| Full Name | Amanda Olson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 508 W Central Ave Ste B, Estherville, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558794099 | NPI | - | NPPES |
| 3218245 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 001653 (Iowa) | Primary |
| Entity Name | Moxie Nova |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609551787 PECOS PAC ID: 3971046897 Enrollment ID: O20240620001656 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Olson, LMHC 508 W Central Ave Ste B, Estherville, IA 51334-1834 Ph: (800) 592-0180 | Amanda Olson, LMHC 508 W Central Ave Ste B, Estherville, IA 51334-1834 Ph: (800) 592-0180 |
Amy J Nissen, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 Central Ave, Estherville, IA 51334 Phone: 800-592-0180 Fax: 712-566-5229 | |
Emili Lair, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1797 340th Ave, Estherville, IA 51334 Phone: 712-357-8742 | |
Madison Gabrielle Wagner, LMHC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 1820 Central Ave, Estherville, IA 51334 Phone: 800-592-0180 | |
Suzan Marie Loverink, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 508 W Central Ave, Ste B, Estherville, IA 51334 Phone: 800-592-0180 Fax: 712-566-5229 |