# INTEGRATED WELLNESS COUNSELING CENTER

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

## Provider details

- **NPI number:** 1649046970
- **Authorized official:** BRIDGET CASEY BRENTON LISW (CO-OWNER)
- **Authorized official phone:** (319) 531-7799

## Contact information

- **Practice address:** 1101 5TH ST STE 103, CORALVILLE, IA 52241-2904
- **Practice address phone:** (319) 531-7799
- **Practice address fax:** (319) 344-4486
- **Mailing address:** 1101 5TH ST STE 103, CORALVILLE, IA 52241-2904
- **Mailing address phone:** (319) 531-7799
- **Mailing address fax:** (319) 344-4486

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |

## Other

- **Enumeration date:** 11/28/2023
- **Last updated:** 11/28/2023