Organization
INSTITUTE FOR THERAPY AND PSYCHOLOGICAL SOLUTIONS L.L.C.
Active
Parent organization
MID IOWA FAMILY THERAPY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID IOWA FAMILY THERAPY INC
Authorized official
DR. CHRISTINE ANN SECRIST PHD, LMFT (OWNER/CEO)
(515) 465-5739
Entity
Organization
Contact information
Practice address
410 12TH ST, PERRY, IA 50220-7586
(515) 465-5739
(515) 465-5744
Mailing address
PO BOX 516, PERRY, IA 50220-0516
(515) 465-5739
(515) 465-5744
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
IA
101YM0800X
Mental Health Counselor
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0447631
—
IA
05
—
0740480
—
IA
05
—
1447631
—
IA
01
—
460178
VALUE OPTIONS
IA
Enumeration date
02/10/2006
Last updated
07/21/2022
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