| Magnolia Counseling And Therapy Plc | |
|
1813 1st Ave S Fort Dodge IA 50501-5123 | |
| (515) 573-0933 | |
| Not Available |
| Full Name | Magnolia Counseling And Therapy Plc |
|---|---|
| Speciality | Social Worker |
| Location | 1813 1st Ave S, Fort Dodge, Iowa |
| Authorized Official Name and Position | Myra J Schnieders (OWNER) |
| Authorized Official Contact | 5155730933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Counseling And Therapy Plc 1813 1st Ave S Fort Dodge IA 50501-5123 Ph: (515) 573-0933 | Magnolia Counseling And Therapy Plc 1813 1st Ave S Fort Dodge IA 50501-5123 Ph: (515) 573-0933 |
| NPI Number | 1619704038 |
|---|---|
| Provider Enumeration Date | 09/18/2024 |
| Last Update Date | 01/14/2025 |
| Certification Date | 01/14/2025 |
| Medicare PECOS PAC ID | 5193245504 |
|---|---|
| Medicare Enrollment ID | O20250227003289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619704038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Myra J Schnieders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306246426 PECOS PAC ID: 6002336419 Enrollment ID: I20250305001668 |
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