| Lakes Counseling Pllc | |
|
507 18th Street Suite A Spirit Lake IA 51360 | |
| (512) 230-3919 | |
| Not Available |
| Full Name | Lakes Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 507 18th Street Suite A, Spirit Lake, Iowa |
| Authorized Official Name and Position | Rachel Wassenaar (OWNER/OUTPT THERAPIST) |
| Authorized Official Contact | 5122303919 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakes Counseling Pllc 507 18th Street Suite A Spirit Lake IA 51360 Ph: (512) 230-3919 | Lakes Counseling Pllc 507 18th Street Suite A Spirit Lake IA 51360 Ph: (512) 230-3919 |
| NPI Number | 1831758002 |
|---|---|
| Provider Enumeration Date | 06/11/2019 |
| Last Update Date | 06/11/2019 |
| Medicare PECOS PAC ID | 6406284819 |
|---|---|
| Medicare Enrollment ID | O20200318001907 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831758002 | NPI | - | NPPES |
| 1427280775 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rachel L Wassenaar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427280775 PECOS PAC ID: 0941523930 Enrollment ID: I20141224000202 |
| Provider Name | Alysa L Murphy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982001046 PECOS PAC ID: 5496270795 Enrollment ID: I20250419000017 |
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