Organization
TAMARA M. WIRTH, LLC
Active
Other names
Tamara M. Wirth, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA M WIRTH LISW (OWERN/PROVIDER)
(515) 337-2872
Entity
Organization
Contact information
Practice address
103 E 6TH ST STE 101, AMES, IA 50010-6300
(515) 337-2872
Mailing address
103 E 6TH ST STE 101, AMES, IA 50010-6300
(515) 337-2872
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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