| Lrc Vision Of Hope Llc | |
|
619 Church St # 2013 Ottumwa IA 52501-4217 | |
| (704) 615-9344 | |
| Not Available |
| Full Name | Lrc Vision Of Hope Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 619 Church St # 2013, Ottumwa, Iowa |
| Authorized Official Name and Position | Veronica Clark (PRESIDENT) |
| Authorized Official Contact | 7046159344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lrc Vision Of Hope Llc 619 Church St # 2013 Ottumwa IA 52501-4217 Ph: (704) 615-9344 | Lrc Vision Of Hope Llc 619 Church St # 2013 Ottumwa IA 52501-4217 Ph: (704) 615-9344 |
| NPI Number | 1376232090 |
|---|---|
| Provider Enumeration Date | 05/08/2023 |
| Last Update Date | 05/08/2023 |
| Certification Date | 04/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376232090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
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