Provider Demographics
NPI:1740818939
Name:INNER PEACE COUNSELING
Entity type:Organization
Organization Name:INNER PEACE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHANON
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CLAUSSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:319-350-6718
Mailing Address - Street 1:1220 S 1ST ST
Mailing Address - Street 2:
Mailing Address - City:OSKALOOSA
Mailing Address - State:IA
Mailing Address - Zip Code:52577-3915
Mailing Address - Country:US
Mailing Address - Phone:319-350-6718
Mailing Address - Fax:
Practice Address - Street 1:1907 17TH AVE E
Practice Address - Street 2:
Practice Address - City:OSKALOOSA
Practice Address - State:IA
Practice Address - Zip Code:52577-3554
Practice Address - Country:US
Practice Address - Phone:641-569-8098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-01
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)