Organization
OPTIMAE LIFESERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM DODDS (PRESIDENT)
(515) 283-1230
Entity
Organization
Contact information
Practice address
124 S HAZEL AVE, AMES, IA 50010-5952
(515) 956-2600
(515) 956-2601
Mailing address
301 W BURLINGTON AVE, FAIRFIELD, IA 52556-3242
(641) 472-1684
(641) 472-4609
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
850670
IA
101YM0800X
Mental Health Counselor
Primary
850671
IA
101YM0800X
Mental Health Counselor
850672
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0272021
—
IA
Enumeration date
01/31/2017
Last updated
01/31/2017
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