| Integrated Therapy Resources | |
|
303a Mckenzie Ave Council Bluffs IA 51503-1014 | |
| (712) 986-7800 | |
| Not Available |
| Full Name | Integrated Therapy Resources |
|---|---|
| Speciality | Counselor |
| Location | 303a Mckenzie Ave, Council Bluffs, Iowa |
| Authorized Official Name and Position | Jacquelyn S Marcum (OWNER/ADMIN) |
| Authorized Official Contact | 7129867800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Therapy Resources 303a Mckenzie Ave Council Bluffs IA 51503-1014 Ph: (712) 986-7800 | Integrated Therapy Resources 303a Mckenzie Ave Council Bluffs IA 51503-1014 Ph: (712) 986-7800 |
| NPI Number | 1457829913 |
|---|---|
| Provider Enumeration Date | 11/02/2018 |
| Last Update Date | 01/29/2025 |
| Certification Date | 01/29/2025 |
| Medicare PECOS PAC ID | 0244573699 |
|---|---|
| Medicare Enrollment ID | O20190528002038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457829913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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