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Organization

INTEGRATED BEHAVIORAL HEALTH NETWORK

Active
Other names
IBHN
Organization subpart
No

Provider details

NPI number
Authorized official
DUSTIN HEMESATH (PRESIDENT)
(515) 450-4919
Entity
Organization

Contact information

Practice address
4430 114TH ST, URBANDALE, IA 50322-5409
(515) 450-4919
Mailing address
4430 114TH ST, URBANDALE, IA 50322-5409
(515) 450-4919

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103T00000X
Psychologist
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
305S00000X
Point of Service
Primary
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
02/05/2019
Last updated
02/05/2019
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