Healthcare Provider Details

I. General information

NPI: 1437424744
Provider Name (Legal Business Name): FILITTI COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2012
Last Update Date: 03/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2728 ASBURY RD SUITE 950
DUBUQUE IA
52001-2971
US

IV. Provider business mailing address

2728 ASBURY RD SUITE 950
DUBUQUE IA
52001-2971
US

V. Phone/Fax

Practice location:
  • Phone: 563-543-7471
  • Fax:
Mailing address:
  • Phone: 563-543-7471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number00898
License Number StateIA

VIII. Authorized Official

Name: MR. JONATHAN MICHAEL FILITTI
Title or Position: OWNER
Credential: LMHC
Phone: 563-543-7471