Organization
RURAL FAMILY THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAT L. LOWENBERG L.I.S.W. (THERAPIST/ADMINISTRATOR)
(641) 782-7212
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
101YM0800X
Mental Health Counselor
Primary
01250 01222
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010215
—
IA
01
—
01199
WELLMARK NUMBER
IA
01
—
29-88-001
IA POS PROVIDER #
IA
01
—
36217
WELLMARK NUMBER
IA
Enumeration date
01/20/2006
Last updated
07/21/2022
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