Provider Demographics
NPI:1780884171
Name:COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANTERNACH
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:712-662-3222
Mailing Address - Street 1:322 S 13TH ST
Mailing Address - Street 2:
Mailing Address - City:SAC CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50583-1910
Mailing Address - Country:US
Mailing Address - Phone:712-662-3222
Mailing Address - Fax:
Practice Address - Street 1:322 S 13TH ST
Practice Address - Street 2:
Practice Address - City:SAC CITY
Practice Address - State:IA
Practice Address - Zip Code:50583-1910
Practice Address - Country:US
Practice Address - Phone:712-662-3222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI21321Medicare PIN