| Chelyne J. Cunningham Counseling, Inc. | |
|
939 Office Park Rd Ste 103 West Des Moines IA 50265-2505 | |
| (515) 221-1989 | |
| Not Available |
| Full Name | Chelyne J. Cunningham Counseling, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 939 Office Park Rd Ste 103, West Des Moines, Iowa |
| Authorized Official Name and Position | Chelyne Jeanette Cunningham-sullivan (PRESIDENT) |
| Authorized Official Contact | 5152211989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chelyne J. Cunningham Counseling, Inc. 100 7th Avenue Ct Ne Altoona IA 50009-1937 Ph: (319) 321-4473 | Chelyne J. Cunningham Counseling, Inc. 939 Office Park Rd Ste 103 West Des Moines IA 50265-2505 Ph: (515) 221-1989 |
| NPI Number | 1154800456 |
|---|---|
| Provider Enumeration Date | 08/08/2018 |
| Last Update Date | 12/03/2018 |
| Medicare PECOS PAC ID | 1658619499 |
|---|---|
| Medicare Enrollment ID | O20190220002356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154800456 | NPI | - | NPPES |
| 1659541126 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 006960 (Iowa) | Primary |
| Provider Name | Chelyne J Cunningham-sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659541126 PECOS PAC ID: 8729326566 Enrollment ID: I20190220002512 |
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