Provider Demographics
NPI:1417685868
Name:HIGHER AWARENESS THERAPY AND CONSULTING, LLC
Entity Type:Organization
Organization Name:HIGHER AWARENESS THERAPY AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAXTER DAMERON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-624-4434
Mailing Address - Street 1:PO BOX 124
Mailing Address - Street 2:
Mailing Address - City:MARNE
Mailing Address - State:IA
Mailing Address - Zip Code:51552-0124
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:214 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:MARNE
Practice Address - State:IA
Practice Address - Zip Code:51552-2540
Practice Address - Country:US
Practice Address - Phone:712-624-4434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-12
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1707264Medicaid