Provider Demographics
NPI:1497375133
Name:AMES MENTAL HEALTH AND WELLNESS CENTER PLC
Entity Type:Organization
Organization Name:AMES MENTAL HEALTH AND WELLNESS CENTER PLC
Other - Org Name:AMES MENTAL HEALTH & WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:515-620-5352
Mailing Address - Street 1:1531 AIRPORT RD STE 102
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-8211
Mailing Address - Country:US
Mailing Address - Phone:515-620-5352
Mailing Address - Fax:877-375-1824
Practice Address - Street 1:1531 AIRPORT RD STE 102
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-8211
Practice Address - Country:US
Practice Address - Phone:515-620-5352
Practice Address - Fax:877-375-1824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-23
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty