| Coffelt Counseling Services Llc | |
|
2117 State St Ste 250 Bettendorf IA 52722-5164 | |
| (563) 949-1124 | |
| Not Available |
| Full Name | Coffelt Counseling Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2117 State St Ste 250, Bettendorf, Iowa |
| Authorized Official Name and Position | Susan Roggendorf (OWNER) |
| Authorized Official Contact | 5632102359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coffelt Counseling Services Llc 1312 Chateau Knls Bettendorf IA 52722-3417 Ph: (563) 210-2359 | Coffelt Counseling Services Llc 2117 State St Ste 250 Bettendorf IA 52722-5164 Ph: (563) 949-1124 |
| NPI Number | 1235923376 |
|---|---|
| Provider Enumeration Date | 04/05/2025 |
| Last Update Date | 04/05/2025 |
| Certification Date | 04/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235923376 | NPI | - | NPPES |
| 180.011632 | Other | IL | LCPC |
| 072145 | Other | IA | LMHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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