Organization
RURAL FAMILY THERAPY SERVICES L.L.C.
Active
Organization
RURAL FAMILY THERAPY SERVICES L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA BENSKY L.I.S.W. (CLINICAL ADMINISTRATOR)
(641) 347-5060
Entity
Organization
Contact information
Practice address
505 E TAYLOR ST, CRESTON, IA 50801-4057
(641) 782-7212
(641) 347-5060
Mailing address
PO BOX 361, AFTON, IA 50830-0361
(641) 347-5060
(641) 347-5060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01222
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010215
—
IA
01
—
01199
BC/BS PROVIDER NUMBER
IA
Enumeration date
07/19/2006
Last updated
08/22/2020
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