Organization
HEARTLAND MENTAL HEALTH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MCINNERNEY LISW, CADC (OWNER/THERAPIST)
(515) 556-9580
Entity
Organization
Contact information
Practice address
328 MAIN ST, SUITE # 214, AMES, IA 50010-6162
(515) 520-9703
Mailing address
334 24TH ST, AMES, IA 50010-4867
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13009
IA
1041C0700X
Clinical Social Worker
Primary
072644
IA
Other
Enumeration date
05/01/2017
Last updated
05/09/2017
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