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Organization
BLUEBIRD BEHAVIORAL HEALTH
Active
Organization
BLUEBIRD BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN L STUKENHOLTZ ARNP, PMHNP-BC (ARNP, PMHNP-BC/OWNER)
(515) 344-7755
Entity
Organization
Contact information
Practice address
2815 100TH ST, URBANDALE, IA 50322-3860
(515) 344-7755
(515) 809-3855
Mailing address
16174 150TH ST, PERRY, IA 50220-6211
(515) 344-7755
(515) 809-3855
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5202608
IOWA BOARD OF PHARMACY - CSA
IA
01
—
G118802
IOWA BOARD OF NURSING
IA
Enumeration date
09/27/2021
Last updated
06/11/2024
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