# MID-IOWA FAMILY THERAPY CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003999624
- **Authorized official:** DR. CHRISTINE ANN SECRIST L.M.F.T. (ADMINISTRATOR)
- **Authorized official phone:** (515) 465-5739

## Contact information

- **Practice address:** 410 12TH ST, PERRY, IA 50220-7586
- **Practice address phone:** (515) 465-5739
- **Practice address fax:** (515) 465-5744
- **Mailing address:** PO BOX 416, PERRY, IA 50220-0416
- **Mailing address phone:** (515) 465-5739
- **Mailing address fax:** (515) 465-5744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | IA | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 04/27/2012