# HEARTLAND INTEGRATIVE PSYCHIATRIC SERVICES CO

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

## Provider details

- **NPI number:** 1467840470
- **Authorized official:** MS. JOELLEN C KUBIK ARNP (PRESIDENT)
- **Authorized official phone:** (319) 404-0461

## Contact information

- **Practice address:** 2587 130TH ST, TRAER, IA 50675-9550
- **Practice address phone:** (319) 404-0461
- **Mailing address:** 2587 130TH ST, TRAER, IA 50675-9550
- **Mailing address phone:** (319) 404-0461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | G067317 | IA | Yes |

## Other

- **Enumeration date:** 12/26/2014
- **Last updated:** 12/26/2014