Healthcare Provider Details

I. General information

NPI: 1649786799
Provider Name (Legal Business Name): SWITZER COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2017
Last Update Date: 12/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1024 COURT AVE
MARENGO IA
52301-1438
US

IV. Provider business mailing address

127 BAILEY PARK RD
WILLIAMSBURG IA
52361-9529
US

V. Phone/Fax

Practice location:
  • Phone: 319-415-8484
  • Fax:
Mailing address:
  • Phone: 319-415-8484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number007045
License Number StateIA

VIII. Authorized Official

Name: KELLI S SWITZER
Title or Position: OWNER
Credential: LISW
Phone: 319-415-8484