Innovative Family Therapy & Play Therapy Center Llc | |
409 N 4th St Ste 108 Burlington IA 52601-5255 | |
(319) 759-9414 | |
Not Available |
Full Name | Innovative Family Therapy & Play Therapy Center Llc |
---|---|
Speciality | Marriage & Family Therapist |
Location | 409 N 4th St Ste 108, Burlington, Iowa |
Authorized Official Name and Position | Theresa Reckling (OWNER/LMFT) |
Authorized Official Contact | 3197599414 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Innovative Family Therapy & Play Therapy Center Llc Po Box 12 Burlington IA 52601-0012 Ph: (319) 759-9414 | Innovative Family Therapy & Play Therapy Center Llc 409 N 4th St Ste 108 Burlington IA 52601-5255 Ph: (319) 759-9414 |
NPI Number | 1497219653 |
---|---|
Provider Enumeration Date | 01/22/2019 |
Last Update Date | 01/22/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497219653 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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