| Minds That Matter Counseling Pc | |
|
1524 Us Highway 18 W Clear Lake IA 50428-1161 | |
| (641) 355-6463 | |
| Not Available |
| Full Name | Minds That Matter Counseling Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1524 Us Highway 18 W, Clear Lake, Iowa |
| Authorized Official Name and Position | Holly L Ruter (OWNER/PRESIDENT) |
| Authorized Official Contact | 6413556463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minds That Matter Counseling Pc Po Box 514 Clear Lake IA 50428-0514 Ph: (641) 355-6463 | Minds That Matter Counseling Pc 1524 Us Highway 18 W Clear Lake IA 50428-1161 Ph: (641) 355-6463 |
| NPI Number | 1902409972 |
|---|---|
| Provider Enumeration Date | 11/20/2020 |
| Last Update Date | 12/14/2022 |
| Certification Date | 12/14/2022 |
| Medicare PECOS PAC ID | 4789096272 |
|---|---|
| Medicare Enrollment ID | O20201207000655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902409972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Holly L Ruter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114215613 PECOS PAC ID: 4981833449 Enrollment ID: I20140131001902 |
Opportunity Village Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N 9th St W, Clear Lake, IA 50428 Phone: 641-357-5277 Fax: 641-357-6491 | |
Opportunity Village Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N 9th St W, Clear Lake, IA 50428 Phone: 641-357-5277 Fax: 641-357-6491 | |
Opportunity Village Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N 9th St W, Clear Lake, IA 50428 Phone: 641-357-5277 | |
Opportunity Village Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N 9th St W, Clear Lake, IA 50428 Phone: 641-357-5277 Fax: 641-357-6491 | |
Opportunity Village Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N 9th St W, Clear Lake, IA 50428 Phone: 641-357-5277 | |
Opportunity Village Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N 9th St W, Clear Lake, IA 50428 Phone: 641-357-5277 Fax: 641-357-6491 | |
Opportunity Village Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N 9th St W, Clear Lake, IA 50428 Phone: 641-357-5277 |