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NPI Code Detail

MEDICARE: ERIN MICHELLE THIEMANN LMHC, PMH-C

MEDICARE: ERIN MICHELLE THIEMANN LMHC, PMH-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor096550IA

General Provider Information

NPI Number : 1235649476
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN MICHELLE THIEMANN LMHC, PMH-C
Provider Business Mailing Address
First Line : 1450 BOYSON RD STE C-2B
Second Line :
City : HIAWATHA
State : IA
Zip : 52233-2323
Country : US
Telephone Number : 319-946-4168
Fax Number :
Provider Business Practice Location Address
First Line : 1811 BOYSON RD STE A
Second Line :
City : HIAWATHA
State : IA
Zip : 52233-1270
Country : US
Telephone Number : 319-250-1267
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2017
Last Update Date : 12/31/2025

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