Organization
SHANTHI WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A STAPLETON EDD, LMHC (OWNER)
(319) 834-9005
Entity
Organization
Contact information
Practice address
1153 LANGENBERG AVE, IOWA CITY, IA 52240-9228
(319) 834-9005
Mailing address
1153 LANGENBERG AVE, IOWA CITY, IA 52240-9228
(319) 834-9005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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