MEDICARE: KATRINA M SERFLING LMHC, NCC, MA

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	101YM0800X	Mental Health Counselor	001554	IA

General Provider Information

NPI Number	:	1669724969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATRINA M SERFLING LMHC, NCC, MA

Provider Business Mailing Address
First Line	:	950 OFFICE PARK RD STE 202
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50265-2548
Country	:	US
Telephone Number	:	515-650-1632
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 OFFICE PARK RD STE 202
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50265-2548
Country	:	US
Telephone Number	:	515-650-1632
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2012
Last Update Date	:	03/09/2023

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