Organization
ELEVATING AWARENESS THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE CLARKE M.A., LMFT (OWNER/LMFT)
(319) 621-5300
Entity
Organization
Contact information
Practice address
3641 KIMBALL AVE STE 207, WATERLOO, IA 50702-5757
(319) 318-0178
(319) 320-1121
Mailing address
3641 KIMBALL AVE STE 207, WATERLOO, IA 50702-5757
(319) 318-0178
(319) 320-1121
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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