Provider Demographics
NPI:1801400155
Name:BETHINK
Entity Type:Organization
Organization Name:BETHINK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STACHOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:712-202-2255
Mailing Address - Street 1:4280 SERGEANT RD STE 225
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51106-4634
Mailing Address - Country:US
Mailing Address - Phone:712-202-2255
Mailing Address - Fax:712-202-2989
Practice Address - Street 1:4280 SERGEANT RD STE 225
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51106-4634
Practice Address - Country:US
Practice Address - Phone:712-202-2255
Practice Address - Fax:712-202-2989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty