Provider Demographics
NPI:1477183119
Name:CERTINTELL, INC.
Entity Type:Organization
Organization Name:CERTINTELL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEFEVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-802-1281
Mailing Address - Street 1:317 6TH AVE STE 901
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-4120
Mailing Address - Country:US
Mailing Address - Phone:515-802-1281
Mailing Address - Fax:
Practice Address - Street 1:317 6TH AVE STE 901
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-4120
Practice Address - Country:US
Practice Address - Phone:515-802-1281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty