Provider Demographics
NPI:1427812890
Name:AMMANAS INC
Entity type:Organization
Organization Name:AMMANAS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GUINNIVERE
Authorized Official - Middle Name:K
Authorized Official - Last Name:BOHNSACK
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:515-523-5550
Mailing Address - Street 1:500 LOCUST ST STE 164
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-4104
Mailing Address - Country:US
Mailing Address - Phone:515-523-5550
Mailing Address - Fax:
Practice Address - Street 1:500 LOCUST ST STE 164
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-4104
Practice Address - Country:US
Practice Address - Phone:515-523-5550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty