# VINCENT PSYCHOTHERAPY SERVICES

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

## Provider details

- **NPI number:** 1508379819
- **Authorized official:** MS. CHRISTINE MARIE VINCENT LISW (PRESIDENT)
- **Authorized official phone:** (319) 339-4757

## Contact information

- **Practice address:** 757 W BENTON ST, IOWA CITY, IA 52246-5953
- **Practice address phone:** (319) 339-4757
- **Practice address fax:** (608) 299-1224
- **Mailing address:** 757 W BENTON ST, IOWA CITY, IA 52246-5953
- **Mailing address phone:** (319) 339-4757
- **Mailing address fax:** (608) 299-1224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 03057 | IA | Yes |

## Other

- **Enumeration date:** 11/08/2017
- **Last updated:** 09/10/2019