Healthcare Provider Details

I. General information

NPI: 1912860420
Provider Name (Legal Business Name): 319 THERAPY GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1435 31ST ST NE STE A
CEDAR RAPIDS IA
52402-4056
US

IV. Provider business mailing address

1435 31ST ST NE STE A
CEDAR RAPIDS IA
52402-4056
US

V. Phone/Fax

Practice location:
  • Phone: 864-497-2294
  • Fax:
Mailing address:
  • Phone: 864-497-2294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. LAUREN CLAYTON WOOD
Title or Position: MARRIAGE AND FAMILY THERAPIST
Credential: PH.D., LMFT
Phone: 864-497-2294