Provider Demographics
NPI:1235447871
Name:NEW DIRECTIONS FOR MENTAL HEALTH, LLC
Entity Type:Organization
Organization Name:NEW DIRECTIONS FOR MENTAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER, OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:JOLINE
Authorized Official - Last Name:KRAUSE-REINERT
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:712-213-7814
Mailing Address - Street 1:808 MICHIGAN ST.
Mailing Address - Street 2:SUITE A
Mailing Address - City:STORM LAKE
Mailing Address - State:IA
Mailing Address - Zip Code:50588
Mailing Address - Country:US
Mailing Address - Phone:712-213-7814
Mailing Address - Fax:712-213-7815
Practice Address - Street 1:808 MICHIGAN ST.
Practice Address - Street 2:SUITE A
Practice Address - City:STORM LAKE
Practice Address - State:IA
Practice Address - Zip Code:50588
Practice Address - Country:US
Practice Address - Phone:712-213-7814
Practice Address - Fax:712-213-7815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-16
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA064581041C0700X
IA061991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty