Healthcare Provider Details

I. General information

NPI: 1417600248
Provider Name (Legal Business Name): JEANA ARBEGAST TLMHC, CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2022
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 13TH AVE SW
CLARION IA
50525-2078
US

IV. Provider business mailing address

403 1ST ST SE
BELMOND IA
50421
US

V. Phone/Fax

Practice location:
  • Phone: 515-532-2836
  • Fax: 515-532-2523
Mailing address:
  • Phone: 641-444-3500
  • Fax: 641-444-5554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number120989
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number22125
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: