Healthcare Provider Details

I. General information

NPI: 1083388672
Provider Name (Legal Business Name): SEEDS OF HOPE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2021
Last Update Date: 04/08/2022
Certification Date: 04/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 N B ST STE A
FAIRFIELD IA
52556-2944
US

IV. Provider business mailing address

205 N B ST STE A
FAIRFIELD IA
52556-2944
US

V. Phone/Fax

Practice location:
  • Phone: 641-233-7262
  • Fax:
Mailing address:
  • Phone: 641-200-1514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. MELISSA E HUFF
Title or Position: MENTAL HEALTH THERAPIST/OWNER
Credential: LISW
Phone: 641-200-1514