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General NPI Number Information
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NPI Number | 1699286427
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Entity Type | Organization
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Legal Business Name | ALLI CENTER LLC
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Dates
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Enumeration Date | 10/19/2017
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 1150 5TH ST STE 270
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City | CORALVILLE
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State | IA
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Zip | 52241-2933
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Country | US
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Telephone | 319-804-9312
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Fax | 319-449-3845
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Provider Business Mailing Address
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Address Line | 1150 5TH ST STE 270
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City | CORALVILLE
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State | IA
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Zip | 52241-2933
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Country | US
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Telephone | 319-804-9312
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Fax | 888-892-7959
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Authorized Official
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Title or Position | MEMBER, PRACTICE MANAGER
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Name | ZARA WANLASS
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Credential |
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Telephone | 319-804-9312
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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 | 081108
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 007582
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 06670
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 000360
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License Number State | IA
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 7530
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License Number State | IA
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