Healthcare Provider Details

I. General information

NPI: 1205367307
Provider Name (Legal Business Name): BETHANY JOY WHEELER BIRD LPC, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BETHANY JOY WHEELER

II. Dates (important events)

Enumeration Date: 03/21/2017
Last Update Date: 05/08/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1206 FOSTER RD
IOWA CITY IA
52245-1515
US

IV. Provider business mailing address

1206 FOSTER RD
IOWA CITY IA
52245-1515
US

V. Phone/Fax

Practice location:
  • Phone: 319-329-6051
  • Fax:
Mailing address:
  • Phone: 319-329-6051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number112561
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: