# STATE UNIVERSITY OF IOWA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STATE UNIVERSITY OF IOWA
- **Other names:** UIHC LMHC Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548505720
- **Legal business name:** STATE UNIVERSITY OF IOWA
- **Authorized official:** PHILIP E ROUDABUSH (DIRECTOR, PATIENT FINANCIAL SERVICE)
- **Authorized official phone:** (319) 353-8820

## Contact information

- **Practice address:** 799 MAIN ST, STE 230, DUBUQUE, IA 52001-6844
- **Practice address phone:** (563) 382-1277
- **Practice address fax:** (563) 382-1287
- **Mailing address:** 200 HAWKINS DR, IOWA CITY, IA 52242-1009

## Taxonomy

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

## Other

- **Enumeration date:** 11/29/2012
- **Last updated:** 05/02/2016
