New Directions Counseling Services, PLLC.
Community/Behavioral Health in Waterloo, IA. Organization (NPI-2).
NPI number1255569331
StatusActive
Last updated in NPPESJan 23, 2023
Details
- NPI
- 1255569331
- Entity type
- Organization (NPI-2)
- Legal business name
- New Directions Counseling Services, PLLC.
- Organization subpart
- No
- Enumeration date
- Jun 26, 2009
- Certification date
- Jan 23, 2023
- Last updated
- Jan 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 00399 | IA | Yes |
| 103TC0700X | Psychologist, Clinical | 960 | IA |
Practice location
1310 Solar DriveWaterloo, IA 50701
Phone 319-232-2086 · Fax 319-232-6846
Mailing address
1310 Solar DriveWaterloo, IA 50701
Phone 319-232-2086 · Fax 515-348-8260
Authorized official
Warren H Phillips
President
5152331122
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