# BOOTHBY COUNSELING SERVICES, LLC

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

## Provider details

- **NPI number:** 1912779851
- **Authorized official:** MANDA BOOTHBY LMHC (MENTAL HEALTH THERAPIST)
- **Authorized official phone:** (712) 251-5308

## Contact information

- **Practice address:** 656 520TH ST, ALTA, IA 51002-7535
- **Practice address phone:** (712) 251-5308
- **Mailing address:** 656 520TH ST, ALTA, IA 51002-7535
- **Mailing address phone:** (712) 251-5308

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2023
- **Last updated:** 10/24/2023