Provider Demographics
NPI:1508402132
Name:PHELPS CONSULTING & TRAINING, LLC
Entity Type:Organization
Organization Name:PHELPS CONSULTING & TRAINING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:PHELPS
Authorized Official - Suffix:
Authorized Official - Credentials:LISW, LCSW
Authorized Official - Phone:563-202-7373
Mailing Address - Street 1:2435 KIMBERLY ROAD
Mailing Address - Street 2:96 SOUTH
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-3509
Mailing Address - Country:US
Mailing Address - Phone:563-202-7373
Mailing Address - Fax:563-888-8485
Practice Address - Street 1:2435 KIMBERLY ROAD
Practice Address - Street 2:96 SOUTH
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-3509
Practice Address - Country:US
Practice Address - Phone:563-202-7373
Practice Address - Fax:563-888-8485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty