Provider Demographics
NPI:1710546767
Name:DAWN O'REGAN CLINICAL THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:DAWN O'REGAN CLINICAL THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:O'REGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:515-978-1373
Mailing Address - Street 1:974 73RD ST STE 10
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-1026
Mailing Address - Country:US
Mailing Address - Phone:515-978-1373
Mailing Address - Fax:
Practice Address - Street 1:974 73RD ST STE 10
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-1026
Practice Address - Country:US
Practice Address - Phone:515-978-1373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-12
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty