| Center For Healing And Hope, Llc | |
|
427 E Kanesville Blvd Suite 102 Council Bluffs IA 51503-9079 | |
| (712) 256-9660 | |
| (712) 256-9661 |
| Full Name | Center For Healing And Hope, Llc |
|---|---|
| Speciality | Counselor |
| Location | 427 E Kanesville Blvd, Council Bluffs, Iowa |
| Authorized Official Name and Position | Shelie D. Leighter (OWNER) |
| Authorized Official Contact | 7122569660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Healing And Hope, Llc 427 E Kanesville Blvd Ste 201 Council Bluffs IA 51503-9079 Ph: (712) 256-9660 | Center For Healing And Hope, Llc 427 E Kanesville Blvd Suite 102 Council Bluffs IA 51503-9079 Ph: (712) 256-9660 |
| NPI Number | 1821314808 |
|---|---|
| Provider Enumeration Date | 04/15/2010 |
| Last Update Date | 11/19/2019 |
| Medicare PECOS PAC ID | 6800912031 |
|---|---|
| Medicare Enrollment ID | O20100924001333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821314808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 06799 (Iowa) | Secondary |
| 101YM0800X | Counselor - Mental Health | 06799 (Iowa) | Primary |
| Provider Name | Amy R Riessland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023158789 PECOS PAC ID: 8224119094 Enrollment ID: I20080117000650 |
| Provider Name | Shelie D Leighter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649322488 PECOS PAC ID: 0547312944 Enrollment ID: I20090716000036 |
| Provider Name | Lisa M Kee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083876924 PECOS PAC ID: 0749463487 Enrollment ID: I20110317000836 |
| Provider Name | Lauren A Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225568793 PECOS PAC ID: 9133555410 Enrollment ID: I20200205000138 |
| Provider Name | Inga Eanes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205439916 PECOS PAC ID: 0648718338 Enrollment ID: I20240813001208 |
| Provider Name | Chad P Richter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699022723 PECOS PAC ID: 9234660234 Enrollment ID: I20241001003922 |
| Provider Name | Gina M West-hendrickson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740413038 PECOS PAC ID: 9032641121 Enrollment ID: I20241014004353 |
| Provider Name | Lisa Crouse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841657442 PECOS PAC ID: 4587195706 Enrollment ID: I20241025000513 |
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