| Family Wellbeing Associates, Llc | |
|
723 Pacha Pkwy North Liberty IA 52317-4796 | |
| (319) 775-0074 | |
| (319) 774-6775 |
| Full Name | Family Wellbeing Associates, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 723 Pacha Pkwy, North Liberty, Iowa |
| Authorized Official Name and Position | Jennifer L Theurer (OWNER) |
| Authorized Official Contact | 3197750074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Wellbeing Associates, Llc 27 Kearney Ct Iowa City IA 52246-2799 Ph: (319) 551-2498 | Family Wellbeing Associates, Llc 723 Pacha Pkwy North Liberty IA 52317-4796 Ph: (319) 775-0074 |
| NPI Number | 1386125318 |
|---|---|
| Provider Enumeration Date | 08/28/2018 |
| Last Update Date | 02/23/2024 |
| Certification Date | 02/23/2024 |
| Medicare PECOS PAC ID | 4385989102 |
|---|---|
| Medicare Enrollment ID | O20181226002103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386125318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer L Theurer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710247879 PECOS PAC ID: 9335440932 Enrollment ID: I20151228001190 |
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