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General NPI Number Information
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NPI Number | 1134003593
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Entity Type | Organization
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Legal Business Name | MIDDLE PATH THERAPY
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 312 E COLLEGE ST STE 400
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City | IOWA CITY
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State | IA
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Zip | 52240-1696
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Country | US
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Telephone | 319-318-2238
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Fax |
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Provider Business Mailing Address
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Address Line | 1204 E WASHINGTON ST
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City | IOWA CITY
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State | IA
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Zip | 52245-4441
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Country | US
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Telephone | 573-777-0124
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. GABRIEL AARON BODZIN
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Credential | LISW
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Telephone | 573-777-0124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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