Ivory Lotus Therapy | |
225 Ne Dartmoor Dr Ste 300 Waukee IA 50263-9665 | |
(515) 650-2454 | |
Not Available |
Full Name | Ivory Lotus Therapy |
---|---|
Speciality | Counselor - Mental Health |
Location | 225 Ne Dartmoor Dr Ste 300, Waukee, Iowa |
Authorized Official Name and Position | Jasmina Pajazetovic (CLINICAL THERAPIST) |
Authorized Official Contact | 5156502454 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ivory Lotus Therapy 225 Ne Dartmoor Dr Ste 300 Waukee IA 50263-9665 Ph: (515) 650-2454 | Ivory Lotus Therapy 225 Ne Dartmoor Dr Ste 300 Waukee IA 50263-9665 Ph: (515) 650-2454 |
NPI Number | 1487370433 |
---|---|
Provider Enumeration Date | 10/12/2022 |
Last Update Date | 03/27/2023 |
Certification Date | 03/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487370433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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