# GEORGIA RAE COUNSELING SERVICES, LLC

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

## Provider details

- **NPI number:** 1770309387
- **Authorized official:** LAUREL VANKLAVEREN PSYD, LMHC, LCPC (OWNER AND THERAPIST)
- **Authorized official phone:** (563) 396-2625

## Contact information

- **Practice address:** 2435 KIMBERLY RD STE 25N, BETTENDORF, IA 52722-3507
- **Practice address phone:** (563) 396-2625
- **Practice address fax:** (563) 296-8989
- **Mailing address:** 2435 KIMBERLY RD STE 25N, BETTENDORF, IA 52722-3507
- **Mailing address phone:** (563) 396-2625
- **Mailing address fax:** (563) 296-8989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |

## Other

- **Enumeration date:** 11/27/2024
- **Last updated:** 01/15/2026
