| Imagine Therapy Solutions, Plc | |
|
575 Cameron Way Unit A North Liberty IA 52317-4704 | |
| (319) 626-2558 | |
| Not Available |
| Full Name | Imagine Therapy Solutions, Plc |
|---|---|
| Speciality | Counselor |
| Location | 575 Cameron Way, North Liberty, Iowa |
| Authorized Official Name and Position | Kendra J Bailey (MEMBER) |
| Authorized Official Contact | 3193213348 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Therapy Solutions, Plc 575 Cameron Way Unit A North Liberty IA 52317-4704 Ph: (319) 626-2558 | Imagine Therapy Solutions, Plc 575 Cameron Way Unit A North Liberty IA 52317-4704 Ph: (319) 626-2558 |
| NPI Number | 1538568886 |
|---|---|
| Provider Enumeration Date | 08/21/2014 |
| Last Update Date | 08/26/2014 |
| Medicare PECOS PAC ID | 9830311521 |
|---|---|
| Medicare Enrollment ID | O20141113000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538568886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Lisa E Yeary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841422912 PECOS PAC ID: 0042479289 Enrollment ID: I20120308000103 |
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