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NPI 1235649476

NPI 1235649476 : ERIN MICHELLE THIEMANN LMHC, PMH-C : HIAWATHA, IA

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General NPI Number Information
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    NPI Number           |    1235649476
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    Entity Type          |    Individual 
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    Provider Name        |    ERIN MICHELLE THIEMANN LMHC, PMH-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/02/2017
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    Last Update Date     |    12/31/2025
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Provider Practice Location Address
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    Address Line         |    1811 BOYSON RD STE A 
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    City                 |    HIAWATHA
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    State                |    IA
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    Zip                  |    52233-1270
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    Country              |    US
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    Telephone            |    319-250-1267
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1450 BOYSON RD STE C-2B 
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    City                 |    HIAWATHA
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    State                |    IA
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    Zip                  |    52233-2323
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    Country              |    US
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    Telephone            |    319-946-4168
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    096550
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    License Number State |    IA
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