Healthcare Provider Details

I. General information

NPI: 1790417616
Provider Name (Legal Business Name): K & K COUNSELING LLC PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2022
Last Update Date: 02/18/2023
Certification Date: 02/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3002 LUCAS AVE
ROWLEY IA
52329
US

IV. Provider business mailing address

3002 LUCAS AVE
ROWLEY IA
52329
US

V. Phone/Fax

Practice location:
  • Phone: 319-551-9973
  • Fax:
Mailing address:
  • Phone: 319-551-9973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial 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. KATHRINE RACHEL BECKMAN-SHAULL
Title or Position: CEO
Credential: LISW, EMDR
Phone: 319-551-9973