Provider Demographics
NPI:1801352299
Name:EUNOIA COUNSELING
Entity type:Organization
Organization Name:EUNOIA COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:ALEN
Authorized Official - Last Name:ROORDA
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:515-988-8217
Mailing Address - Street 1:2250 DAVIS DR
Mailing Address - Street 2:
Mailing Address - City:LEIGHTON
Mailing Address - State:IA
Mailing Address - Zip Code:50143-8041
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:120 N MARKET ST
Practice Address - Street 2:
Practice Address - City:OSKALOOSA
Practice Address - State:IA
Practice Address - Zip Code:52577-2827
Practice Address - Country:US
Practice Address - Phone:515-988-8217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty