Rebecca Lynn Therapy Llc | |
2147 110th Ave Diagonal IA 50845-8850 | |
(641) 316-3134 | |
Not Available |
Full Name | Rebecca Lynn Therapy Llc |
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Speciality | Counselor |
Location | 2147 110th Ave, Diagonal, Iowa |
Authorized Official Name and Position | Rebecca Lynn Lewis (OWNER) |
Authorized Official Contact | 6413163134 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rebecca Lynn Therapy Llc 2147 110th Ave Diagonal IA 50845-8850 Ph: (641) 316-3134 | Rebecca Lynn Therapy Llc 2147 110th Ave Diagonal IA 50845-8850 Ph: (641) 316-3134 |
NPI Number | 1487470845 |
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Provider Enumeration Date | 12/02/2024 |
Last Update Date | 12/02/2024 |
Certification Date | 12/01/2024 |
Medicare PECOS PAC ID | 0840713210 |
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Medicare Enrollment ID | O20250326001654 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487470845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Rebecca Lewis |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1730516063 PECOS PAC ID: 4789034190 Enrollment ID: I20231227003148 |
Bailey Drake Lisw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 Broadway St, Diagonal, IA 50845 Phone: 641-344-0410 |