Provider Demographics
NPI:1003514852
Name:MENTAL HEALTH MATTERS, LLC
Entity Type:Organization
Organization Name:MENTAL HEALTH MATTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHC/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WAMBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-898-3637
Mailing Address - Street 1:201 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:KINGSLEY
Mailing Address - State:IA
Mailing Address - Zip Code:51028-5071
Mailing Address - Country:US
Mailing Address - Phone:712-898-3637
Mailing Address - Fax:
Practice Address - Street 1:600 4TH ST
Practice Address - Street 2:SUITE 202 #10
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51101
Practice Address - Country:US
Practice Address - Phone:712-898-3637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health