| New Directions Counseling Services, Pllc. | |
|
1310 Solar Drive Waterloo IA 50701 | |
| (319) 232-2086 | |
| (319) 232-6846 |
| Full Name | New Directions Counseling Services, Pllc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1310 Solar Drive, Waterloo, Iowa |
| Authorized Official Name and Position | Warren H Phillips (PRESIDENT) |
| Authorized Official Contact | 5152331122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Directions Counseling Services, Pllc. 1310 Solar Drive Waterloo IA 50701 Ph: (319) 232-2086 | New Directions Counseling Services, Pllc. 1310 Solar Drive Waterloo IA 50701 Ph: (319) 232-2086 |
| NPI Number | 1255569331 |
|---|---|
| Provider Enumeration Date | 06/26/2009 |
| Last Update Date | 01/23/2023 |
| Certification Date | 01/23/2023 |
| Medicare PECOS PAC ID | 4789918517 |
|---|---|
| Medicare Enrollment ID | O20190627000731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255569331 | NPI | - | NPPES |
| 257058000 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 960 (Iowa) | Secondary |
| 251S00000X | Community/behavioral Health | 00399 (Iowa) | Primary |
| Provider Name | John E Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346277829 PECOS PAC ID: 5092804211 Enrollment ID: I20071211000099 |
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