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Organization
WAXWING PSYCHOLOGICAL SERVICES, PLLC
Active
Organization
WAXWING PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY J. MIELKE DMFT, LMFT (OWNER, SUPERVISOR, THERAPIST)
(319) 531-6107
Entity
Organization
Contact information
Practice address
700 16TH ST NE STE 206, CEDAR RAPIDS, IA 52402-4665
(319) 382-0751
Mailing address
700 16TH ST NE STE 206, CEDAR RAPIDS, IA 52402-4665
(319) 531-6107
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
08/03/2026
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