| The Me I Want To Be, Llc | |
|
3 Goethe St Guttenberg IA 52052-9319 | |
| (563) 362-2379 | |
| (563) 334-7970 |
| Full Name | The Me I Want To Be, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3 Goethe St, Guttenberg, Iowa |
| Authorized Official Name and Position | Diane Baumgartner (OWNER) |
| Authorized Official Contact | 5633622379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Me I Want To Be, Llc Po Box 285 Guttenberg IA 52052-0285 Ph: (563) 362-2379 | The Me I Want To Be, Llc 3 Goethe St Guttenberg IA 52052-9319 Ph: (563) 362-2379 |
| NPI Number | 1033739503 |
|---|---|
| Provider Enumeration Date | 04/24/2020 |
| Last Update Date | 04/24/2020 |
| Certification Date | 04/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033739503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |