Healthcare Provider Details

I. General information

NPI: 1801352299
Provider Name (Legal Business Name): EUNOIA COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2019
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

616 FRANKLIN PL
PELLA IA
50219-1641
US

IV. Provider business mailing address

120 N MARKET ST
OSKALOOSA IA
52577-2844
US

V. Phone/Fax

Practice location:
  • Phone: 641-658-9311
  • Fax:
Mailing address:
  • Phone: 641-658-9311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. LANCE ALEN ROORDA
Title or Position: OWNER
Credential: LISW
Phone: 641-658-9311