| Breaking Illusions Counseling Llc | |
|
2230 33rd St Ste 8 Spirit Lake IA 51360-7632 | |
| (712) 260-3117 | |
| Not Available |
| Full Name | Breaking Illusions Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2230 33rd St Ste 8, Spirit Lake, Iowa |
| Authorized Official Name and Position | Whitney Lynn Gray (CLINICAL MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 7122603117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking Illusions Counseling Llc Po Box 25 Arnolds Park IA 51331-0025 Ph: (712) 260-3117 | Breaking Illusions Counseling Llc 2230 33rd St Ste 8 Spirit Lake IA 51360-7632 Ph: (712) 260-3117 |
| NPI Number | 1598548976 |
|---|---|
| Provider Enumeration Date | 08/17/2023 |
| Last Update Date | 08/17/2023 |
| Certification Date | 08/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598548976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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