Healthcare Provider Details

I. General information

NPI: 1881598431
Provider Name (Legal Business Name): OPEN DOOR COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1170 CEDAR ST
WAUKEE IA
50263-9207
US

IV. Provider business mailing address

1170 CEDAR ST
WAUKEE IA
50263-9207
US

V. Phone/Fax

Practice location:
  • Phone: 651-239-0813
  • Fax:
Mailing address:
  • Phone: 651-239-0813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: MEGAN STEFFES
Title or Position: MENTAL HEALTH COUNSELOR
Credential: LISW
Phone: 651-239-0813