| Sjl Therapy Llc | |
|
715 W 1st St Cedar Falls IA 50613-2617 | |
| (319) 420-2687 | |
| Not Available |
| Full Name | Sjl Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 715 W 1st St, Cedar Falls, Iowa |
| Authorized Official Name and Position | Shannon Lentfer (OWNER) |
| Authorized Official Contact | 3194202687 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sjl Therapy Llc 246 Morrell Ave Evansdale IA 50707-1031 Ph: () - | Sjl Therapy Llc 715 W 1st St Cedar Falls IA 50613-2617 Ph: (319) 420-2687 |
| NPI Number | 1649081845 |
|---|---|
| Provider Enumeration Date | 01/16/2025 |
| Last Update Date | 01/16/2025 |
| Certification Date | 01/16/2025 |
| Medicare PECOS PAC ID | 2163952722 |
|---|---|
| Medicare Enrollment ID | O20250211003955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649081845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shannon J Lentfer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043981632 PECOS PAC ID: 8022455906 Enrollment ID: I20240327002627 |
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