Wild Spirit Counseling, Llc | |
15 E Southridge Rd Marshalltown IA 50158-4550 | |
(641) 351-4003 | |
(641) 243-2115 |
Full Name | Wild Spirit Counseling, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 15 E Southridge Rd, Marshalltown, Iowa |
Authorized Official Name and Position | Misty Lynn Smith (THERAPIST) |
Authorized Official Contact | 6413514003 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wild Spirit Counseling, Llc 15 E Southridge Rd Marshalltown IA 50158-4550 Ph: (641) 351-4003 | Wild Spirit Counseling, Llc 15 E Southridge Rd Marshalltown IA 50158-4550 Ph: (641) 351-4003 |
NPI Number | 1609518810 |
---|---|
Provider Enumeration Date | 04/08/2022 |
Last Update Date | 10/20/2022 |
Certification Date | 10/20/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609518810 | NPI | - | NPPES |
1154742989 | Other | IA | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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