| Nichole Marie Waterman, | |
|
101 E 22nd St, Atlantic, IA 50022-2879 | |
| (712) 254-9018 | |
| (712) 254-9019 |
| Full Name | Nichole Marie Waterman |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 101 E 22nd St, Atlantic, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952921116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 099251 (Iowa) | Primary |
| Entity Name | Therapy Place Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194886028 PECOS PAC ID: 8628042983 Enrollment ID: O20040823000777 |
| Mailing Address | Practice Location Address |
|---|---|
| Nichole Marie Waterman, 101 E 22nd St, Atlantic, IA 50022-2879 Ph: (712) 254-9018 | Nichole Marie Waterman, 101 E 22nd St, Atlantic, IA 50022-2879 Ph: (712) 254-9018 |
Ms. Darian Elizabeth Heideman, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2307 Olive St, Atlantic, IA 50022 Phone: 712-243-5091 | |
Tawna L Rutherford, TCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 E 10th St, Atlantic, IA 50022 Phone: 712-243-5091 Fax: 712-243-1337 | |
Peggy Fitzwater, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2307 Olive St, Atlantic, IA 50022 Phone: 712-243-2606 | |
Taylor Beane, T-CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2307 Olive St, Atlantic, IA 50022 Phone: 712-243-2606 | |
Mrs. Melanie Fell, TLMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 E 22nd St, Atlantic, IA 50022 Phone: 712-254-9018 | |
Angela Hawkins, LHMC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2307 Olive St, Atlantic, IA 50022 Phone: 712-243-2606 Fax: 712-243-1337 | |
Erin M Steffensen, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 E 10th St, Atlantic, IA 50022 Phone: 712-243-5091 Fax: 712-243-1337 |