| Imago Dei Counseling Services Llc | |
|
2190 Nw 82nd St Ste 1 Clive IA 50325-5510 | |
| (515) 661-4985 | |
| Not Available |
| Full Name | Imago Dei Counseling Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2190 Nw 82nd St Ste 1, Clive, Iowa |
| Authorized Official Name and Position | Diana Bonus (OWNER) |
| Authorized Official Contact | 5156614985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imago Dei Counseling Services Llc 2190 Nw 82nd St Ste 1 Clive IA 50325-5510 Ph: (515) 661-4985 | Imago Dei Counseling Services Llc 2190 Nw 82nd St Ste 1 Clive IA 50325-5510 Ph: (515) 661-4985 |
| NPI Number | 1427932649 |
|---|---|
| Provider Enumeration Date | 08/01/2025 |
| Last Update Date | 08/01/2025 |
| Certification Date | 08/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427932649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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