| Marney Malena Medhaug, | |
|
22 N Center St, Marshalltown, IA 50158-4911 | |
| (641) 752-2300 | |
| Not Available |
| Full Name | Marney Malena Medhaug |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 22 N Center St, Marshalltown, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184398786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 108810 (Iowa) | Primary |
| Entity Name | Wild Spirit Counseling, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609518810 PECOS PAC ID: 4284075235 Enrollment ID: O20240508003500 |
| Mailing Address | Practice Location Address |
|---|---|
| Marney Malena Medhaug, 22 N Center St, Marshalltown, IA 50158-4911 Ph: () - | Marney Malena Medhaug, 22 N Center St, Marshalltown, IA 50158-4911 Ph: (641) 752-2300 |
Amy Bonin, M.S. - TLMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 N 4th Ave, Marshalltown, IA 50158 Phone: 641-752-5421 Fax: 641-752-7211 | |
Micaela Price, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Westwood Dr, Marshalltown, IA 50158 Phone: 641-351-4003 Fax: 641-351-4968 | |
Melinda Tullis, TCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 N 4th Ave, Marshalltown, IA 50158 Phone: 641-752-5421 Fax: 641-752-7211 | |
Darcy Maiden-parks, LMSW Counselor Medicare: Medicare Enrolled Practice Location: 9 N 4th Ave, Marshalltown, IA 50158 Phone: 641-752-5421 Fax: 641-752-7211 | |
Ana Maria Huerta Lemus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 N 4th Ave, Marshalltown, IA 50158 Phone: 641-752-5421 Fax: 641-752-7211 | |
Kimberly Schaeffer, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 E Southridge Rd, Marshalltown, IA 50158 Phone: 641-351-4003 | |
Mrs. Misty Lynn Smith, BA Counselor Medicare: Medicare Enrolled Practice Location: 15 E Southridge Rd, Marshalltown, IA 50158 Phone: 641-351-4003 Fax: 641-243-2115 |