MEDICARE: VERMEER QUIST CONSULTING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	00965	IA

General Provider Information

NPI Number	:	1538606975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERMEER QUIST CONSULTING, LLC

Provider Business Mailing Address
First Line	:	1701 48TH ST STE 110&120
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-6723
Country	:	US
Telephone Number	:	515-331-0303
Fax Number	:	515-644-2084

Provider Business Practice Location Address
First Line	:	1701 48TH ST STE 110&120
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-6723
Country	:	US
Telephone Number	:	515-331-0303
Fax Number	:	515-644-2084

Authorized Official
Title or Position	:	CO-OWNER & CLINICAL PSYCHOLOGIST
Name	:	DR. HEIDI VERMEER-QUIST
Credential	:	PSY.D.
Telephone Number	:	515-720-5436

Provider Enumeration Date	:	01/24/2017
Last Update Date	:	04/16/2024

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