| Mental Health Associates,llc | |
|
2212 Pierce St Suite 100 Sioux City IA 51104-3871 | |
| (712) 255-8323 | |
| (712) 255-8287 |
| Full Name | Mental Health Associates,llc |
|---|---|
| Speciality | Psychologist |
| Location | 2212 Pierce St, Sioux City, Iowa |
| Authorized Official Name and Position | Denise Acker Marandola (PRESIDENT) |
| Authorized Official Contact | 7122558323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Associates,llc 2212 Pierce St Suite 100 Sioux City IA 51104-3871 Ph: (712) 255-8323 | Mental Health Associates,llc 2212 Pierce St Suite 100 Sioux City IA 51104-3871 Ph: (712) 255-8323 |
| NPI Number | 1962551275 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 02/27/2014 |
| Medicare PECOS PAC ID | 0648176701 |
|---|---|
| Medicare Enrollment ID | O20031209001087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962551275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Michelle L Buhman-livermore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629045422 PECOS PAC ID: 4082712120 Enrollment ID: I20070613000245 |
| Provider Name | Denise A Marandola |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376630277 PECOS PAC ID: 3870499940 Enrollment ID: I20101020000521 |
| Provider Name | Susannah L Shell-phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114015922 PECOS PAC ID: 1658564505 Enrollment ID: I20101022001241 |
| Provider Name | Gladys Ranee Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598126492 PECOS PAC ID: 6406101799 Enrollment ID: I20180608000676 |
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