Organization
LINDA R. WIESELER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA WIESELER II MSE, LMHC (CEO)
(712) 490-2515
Entity
Organization
Contact information
Practice address
705 DOUGLAS ST STE 350, SIOUX CITY, IA 51101-1018
(712) 490-2515
(712) 277-3173
Mailing address
1003 32ND ST, SIOUX CITY, IA 51104-2734
(712) 490-2515
(712) 277-3173
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
01491
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00994
MENTAL HEALTH COUNSELOR
IA
01
—
01491
MASTER SOCIAL WORKER
IA
05
—
1014704
—
IA
01
—
10418
FAMILY TEEM MTG FACILITAT
IA
Enumeration date
03/29/2007
Last updated
08/25/2015
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