Organization
ADVANCE THERAPY MENTAL HEALTH AND RECOVERY SERVICES LLC
Active
Parent organization
ADVANCE THERAPY MENTAL HEALTH AND RECOVERY SERVICES LLC
Other names
Advance therapy Mental Health and recovery services llc
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCE THERAPY MENTAL HEALTH AND RECOVERY SERVICES LLC
Authorized official
MR. BILL COAD BA (MANAGER)
(712) 277-3200
Entity
Organization
Contact information
Practice address
705 DOUGLAS ST STE 325, BENSON BLDG, SIOUX CITY, IA 51101-1016
(712) 277-3200
(712) 277-3208
Mailing address
705 DOUGLAS ST STE 325, BENSON BLDG, SIOUX CITY, IA 51101-1016
(712) 277-3200
(712) 277-3208
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01284
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041CO7004
CLINICAL SOCIAL WORK
IA
05
—
2190223
—
IA
01
—
80
CMS CODE
—
Enumeration date
04/16/2008
Last updated
04/20/2008
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