| Willow Grove Therapy Group Llc | |
|
9105 Northpark Dr Johnston IA 50131-4807 | |
| (515) 984-0225 | |
| (515) 984-0226 |
| Full Name | Willow Grove Therapy Group Llc |
|---|---|
| Speciality | Psychologist |
| Location | 9105 Northpark Dr, Johnston, Iowa |
| Authorized Official Name and Position | Leann Waterhouse (PSYCHOLOGIST) |
| Authorized Official Contact | 5156310454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Grove Therapy Group Llc 431 28th St # 205 Des Moines IA 50312-4400 Ph: (515) 631-0454 | Willow Grove Therapy Group Llc 9105 Northpark Dr Johnston IA 50131-4807 Ph: (515) 984-0225 |
| NPI Number | 1659873727 |
|---|---|
| Provider Enumeration Date | 03/05/2018 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Medicare PECOS PAC ID | 9931464468 |
|---|---|
| Medicare Enrollment ID | O20180604000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659873727 | NPI | - | NPPES |
| Provider Name | Kate E Junk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801204037 PECOS PAC ID: 7214154251 Enrollment ID: I20140814001385 |
| Provider Name | Lauren Elizabeth Kern |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417416314 PECOS PAC ID: 2769825702 Enrollment ID: I20240207001378 |
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