Provider Demographics
NPI:1598431686
Name:MONICA'S PSYCHOTHERAPY AND HEALING, PLLC
Entity Type:Organization
Organization Name:MONICA'S PSYCHOTHERAPY AND HEALING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:J
Authorized Official - Last Name:OVERBERG GOODRICK
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, LCPC
Authorized Official - Phone:563-526-3481
Mailing Address - Street 1:2322 E KIMBERLY RD STE 265N
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-7224
Mailing Address - Country:US
Mailing Address - Phone:563-526-3481
Mailing Address - Fax:563-526-7631
Practice Address - Street 1:2322 E KIMBERLY RD STE 265N
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-7224
Practice Address - Country:US
Practice Address - Phone:563-526-3481
Practice Address - Fax:563-526-7631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-18
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty