Organization
COLI, LLC
Active
Other names
Paradise Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA HENNINGS LMHC (THERAPIST)
(563) 542-9349
Entity
Organization
Contact information
Practice address
4012 PARADISE CT NW, CEDAR RAPIDS, IA 52405-1984
(319) 640-4413
Mailing address
215 4TH AVE SE STE 200, CEDAR RAPIDS, IA 52401-1844
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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