| Maverick Mental Health, Pllc | |
|
3425 Holiday Ct Apt 2 Bettendorf IA 52722-6702 | |
| (612) 749-3746 | |
| Not Available |
| Full Name | Maverick Mental Health, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3425 Holiday Ct Apt 2, Bettendorf, Iowa |
| Authorized Official Name and Position | Erin E Elm (OWNER) |
| Authorized Official Contact | 6127493746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maverick Mental Health, Pllc 3425 Holiday Ct Apt 2 Bettendorf IA 52722-6702 Ph: (612) 749-3746 | Maverick Mental Health, Pllc 3425 Holiday Ct Apt 2 Bettendorf IA 52722-6702 Ph: (612) 749-3746 |
| NPI Number | 1649915737 |
|---|---|
| Provider Enumeration Date | 05/03/2022 |
| Last Update Date | 05/03/2022 |
| Certification Date | 05/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649915737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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