Provider Demographics
NPI:1427210376
Name:RAILEY, JANELLE (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:
Last Name:RAILEY
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:JANELLE
Other - Middle Name:
Other - Last Name:WELBOURN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:221 E COLLEGE ST
Mailing Address - Street 2:SUITE 211
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-1699
Mailing Address - Country:US
Mailing Address - Phone:319-337-3313
Mailing Address - Fax:319-337-0686
Practice Address - Street 1:221 E COLLEGE ST
Practice Address - Street 2:SUITE 211
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-1699
Practice Address - Country:US
Practice Address - Phone:319-337-3313
Practice Address - Fax:319-337-0686
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X, 174400000X
IA001145101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No174400000XOther Service ProvidersSpecialist