Provider Demographics
NPI:1497373336
Name:CAROL SEEHUSEN, PHD, LMHC, LLC
Entity Type:Organization
Organization Name:CAROL SEEHUSEN, PHD, LMHC, LLC
Other - Org Name:OMNIHEALING PSYCHOTHERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:SEEHUSEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMHC
Authorized Official - Phone:319-775-0070
Mailing Address - Street 1:375 COLLINS RD NE STE 16
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-3168
Mailing Address - Country:US
Mailing Address - Phone:319-775-0070
Mailing Address - Fax:319-900-4552
Practice Address - Street 1:375 COLLINS RD NE STE 16
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-3168
Practice Address - Country:US
Practice Address - Phone:319-775-0070
Practice Address - Fax:319-900-4552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-07
Last Update Date:2023-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)