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Organization

ALLI CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ZARA WANLASS (MEMBER, PRACTICE MANAGER)
(319) 804-9312
Entity
Organization

Contact information

Practice address
1150 5TH ST STE 270, CORALVILLE, IA 52241-2933
(319) 804-9312
(319) 449-3845
Mailing address
1150 5TH ST STE 270, CORALVILLE, IA 52241-2933
(319) 804-9312
(888) 892-7959

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
081108
IA
1041C0700X
Clinical Social Worker
007582
IA
1041C0700X
Clinical Social Worker
06670
IA
1041C0700X
Clinical Social Worker
Primary
7530
IA
106H00000X
Marriage & Family Therapist
000360
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0710977
IA
05
1881993160
IA
Enumeration date
10/19/2017
Last updated
04/28/2025
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