Organization
DEEP WELL LLC
Active
Organization
DEEP WELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIDNEY BARKER LISW (MEMER)
(641) 919-0765
Entity
Organization
Contact information
Practice address
3103 MAPLEWOOD RD, AMES, IA 50014-4572
(641) 919-0765
Mailing address
3103 MAPLEWOOD RD, AMES, IA 50014-4572
(641) 919-0765
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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