| Grief Counseling And Therapeutic Services, Llc | |
|
2435 East Kimberly Rd Suite 300 South Bettendorf IA 52722-3509 | |
| (319) 750-8525 | |
| Not Available |
| Full Name | Grief Counseling And Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2435 East Kimberly Rd, Bettendorf, Iowa |
| Authorized Official Name and Position | Julie Bockenstedt (THERAPIST) |
| Authorized Official Contact | 3197508525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grief Counseling And Therapeutic Services, Llc 2435 East Kimberly Rd Suite 300 South Bettendorf IA 52722 Ph: (319) 750-8525 | Grief Counseling And Therapeutic Services, Llc 2435 East Kimberly Rd Suite 300 South Bettendorf IA 52722-3509 Ph: (319) 750-8525 |
| NPI Number | 1467065235 |
|---|---|
| Provider Enumeration Date | 08/31/2020 |
| Last Update Date | 10/27/2020 |
| Certification Date | 10/27/2020 |
| Medicare PECOS PAC ID | 8729491139 |
|---|---|
| Medicare Enrollment ID | O20210104000654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467065235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Julie Kay Williams Bockenstedt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285931915 PECOS PAC ID: 9638582042 Enrollment ID: I20210104001033 |
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