Organization
COFFELT COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ROGGENDORF LMCH, LCPC (OWNER)
(563) 210-2359
Entity
Organization
Contact information
Practice address
2117 STATE ST STE 250, BETTENDORF, IA 52722-5164
(563) 949-1124
Mailing address
1312 CHATEAU KNLS, BETTENDORF, IA 52722-3417
(563) 210-2359
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072145
LMHC
IA
01
—
180.011632
LCPC
IL
Enumeration date
04/05/2025
Last updated
04/05/2025
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