| Kyle F Richards Pc | |
|
2098 Glenn Ellen Rd Sergeant Bluff IA 51054-8078 | |
| (712) 540-4090 | |
| Not Available |
| Full Name | Kyle F Richards Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2098 Glenn Ellen Rd, Sergeant Bluff, Iowa |
| Authorized Official Name and Position | Kyle F Richards (OWNER) |
| Authorized Official Contact | 7125404090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle F Richards Pc 2098 Glenn Ellen Rd Sergeant Bluff IA 51054-8078 Ph: (712) 540-4090 | Kyle F Richards Pc 2098 Glenn Ellen Rd Sergeant Bluff IA 51054-8078 Ph: (712) 540-4090 |
| NPI Number | 1821781493 |
|---|---|
| Provider Enumeration Date | 05/31/2023 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821781493 | NPI | - | NPPES |
| LPC-MH30835 | Other | SD | SD LPC-MH LICENSE |
| 092334 | Other | IA | IA LMHC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Community Monitoirng Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 1st Street Ste A5, Sergeant Bluff, IA 51054 Phone: 712-943-2787 Fax: 712-943-2854 |