Provider Demographics
NPI:1841259488
Name:PARENTS UNITED
Entity type:Organization
Organization Name:PARENTS UNITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/LBSW
Authorized Official - Prefix:MS
Authorized Official - First Name:DUFFY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEITZEL
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW
Authorized Official - Phone:641-424-5232
Mailing Address - Street 1:600 1ST ST NW
Mailing Address - Street 2:SUITE 107
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-2930
Mailing Address - Country:US
Mailing Address - Phone:641-424-5232
Mailing Address - Fax:641-424-8141
Practice Address - Street 1:600 1ST ST NW
Practice Address - Street 2:SUITE 107
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-2930
Practice Address - Country:US
Practice Address - Phone:641-424-5232
Practice Address - Fax:641-424-8141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA52047Medicaid
IA52047OtherPROVIDER ID #
IA52047Medicare ID - Type UnspecifiedMEDICARE ID #