# OPTIMAE LIFESERVICES, INC.

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

## Provider details

- **NPI number:** 1407393259
- **Authorized official:** MR. WILLIAM DODDS (PRESIDENT)
- **Authorized official phone:** (515) 283-1230

## Contact information

- **Practice address:** 124 S HAZEL AVE, AMES, IA 50010-5952
- **Practice address phone:** (515) 956-2600
- **Practice address fax:** (515) 956-2601
- **Mailing address:** 301 W BURLINGTON AVE, FAIRFIELD, IA 52556-3242
- **Mailing address phone:** (641) 472-1684
- **Mailing address fax:** (641) 472-4609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 850670 | IA | — |
| 101YM0800X | Mental Health Counselor | 850671 | IA | Yes |
| 101YM0800X | Mental Health Counselor | 850672 | IA | — |

## Other

- **Enumeration date:** 01/31/2017
- **Last updated:** 01/31/2017