| Carol Seehusen, Phd, Lmhc, Llc | |
|
375 Collins Rd Ne Ste 16 Cedar Rapids IA 52402-3168 | |
| (319) 775-0070 | |
| (319) 900-4552 |
| Full Name | Carol Seehusen, Phd, Lmhc, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 375 Collins Rd Ne Ste 16, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Carol Seehusen (OWNER) |
| Authorized Official Contact | 3197750070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Seehusen, Phd, Lmhc, Llc 375 Collins Rd Ne Ste 16 Cedar Rapids IA 52402-3168 Ph: (319) 775-0070 | Carol Seehusen, Phd, Lmhc, Llc 375 Collins Rd Ne Ste 16 Cedar Rapids IA 52402-3168 Ph: (319) 775-0070 |
| NPI Number | 1497373336 |
|---|---|
| Provider Enumeration Date | 07/07/2020 |
| Last Update Date | 11/04/2023 |
| Certification Date | 11/04/2023 |
| Medicare PECOS PAC ID | 5991153769 |
|---|---|
| Medicare Enrollment ID | O20231205001160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497373336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Carol Seehusen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447644539 PECOS PAC ID: 4486986577 Enrollment ID: I20231205001235 |
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