# THERAPEUTIC INNOVATIONS, PLLC

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

## Provider details

- **NPI number:** 1306588330
- **Authorized official:** VANESSA WEST PH.D., LMHC (LICENSED MENTAL HEALTH COUNSELOR)
- **Authorized official phone:** (319) 540-5643

## Contact information

- **Practice address:** 100 W 4TH ST, VINTON, IA 52349-1120
- **Practice address phone:** (319) 540-5643
- **Practice address fax:** (319) 409-8120
- **Mailing address:** 100 W 4TH ST, VINTON, IA 52349-1120
- **Mailing address phone:** (319) 540-5643
- **Mailing address fax:** (319) 409-8120

## Taxonomy

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

## Other

- **Enumeration date:** 04/11/2022
- **Last updated:** 04/11/2022
