Provider Demographics
NPI:1659712677
Name:THE COUNSELING EDGE, INC
Entity Type:Organization
Organization Name:THE COUNSELING EDGE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ST.GERMAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-419-8682
Mailing Address - Street 1:1421 S BELL AVE STE 108A
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-7710
Mailing Address - Country:US
Mailing Address - Phone:515-419-8682
Mailing Address - Fax:
Practice Address - Street 1:1421 S BELL AVE STE 108A
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-7710
Practice Address - Country:US
Practice Address - Phone:515-419-8682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center