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General NPI Number Information
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NPI Number | 1497819114
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Entity Type | Organization
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Legal Business Name | FAMILIES FIRST COUNSELING SERVICES OF IOWA, L.L.C.
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 111 PLAZA CIR
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City | WATERLOO
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State | IA
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Zip | 50701-5138
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Country | US
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Telephone | 319-433-0395
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Fax | 319-433-3870
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Provider Business Mailing Address
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Address Line | 111 PLAZA CIR
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City | WATERLOO
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State | IA
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Zip | 50701-5138
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Country | US
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Telephone | 319-433-0395
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Fax | 319-433-3870
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | KATRINA HENNIGES
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Credential |
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Telephone | 319-433-0395
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 29-07-021
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License Number State | IA
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