Provider Demographics
NPI:1790560696
Name:PREVAIL COUNSELING FOR WELLNESS, LLC
Entity Type:Organization
Organization Name:PREVAIL COUNSELING FOR WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:RECHKEMMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-343-7727
Mailing Address - Street 1:1500 FAWN DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-2303
Mailing Address - Country:US
Mailing Address - Phone:319-343-7727
Mailing Address - Fax:
Practice Address - Street 1:580 N MADISON AVE UNIT 3
Practice Address - Street 2:
Practice Address - City:NORTH LIBERTY
Practice Address - State:IA
Practice Address - Zip Code:52317-8402
Practice Address - Country:US
Practice Address - Phone:319-343-7727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)