Organization
ACCESS EVALUATION AND EDUCATION SERVICES, L.L.C.
Active
Other names
Access Evaluations and Education, Access Wellness and Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
AMY RENEE BONEBRAKE MSW, CADC, SAP (OWNER/ DIRECTOR)
(319) 252-4631
Entity
Organization
Contact information
Practice address
3640 CANTERBURY CT, WATERLOO, IA 50702-5705
(319) 252-4631
Mailing address
3640 CANTERBURY CT, WATERLOO, IA 50702-5705
(319) 252-4631
(181) 421-2449
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
1401
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073291902
—
IA
05
—
1316001845
—
IA
05
—
1316467061
—
IA
05
—
1356788616
—
IA
05
—
1932633609
—
IA
Enumeration date
04/19/2017
Last updated
07/17/2023
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