Provider Demographics
NPI:1841917812
Name:MOLLY F. PACE LMHC, ATR
Entity type:Organization
Organization Name:MOLLY F. PACE LMHC, ATR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:PACE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, ATR
Authorized Official - Phone:712-318-3351
Mailing Address - Street 1:411 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51101-1445
Mailing Address - Country:US
Mailing Address - Phone:712-318-3351
Mailing Address - Fax:
Practice Address - Street 1:411 PEARL ST
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51101-1445
Practice Address - Country:US
Practice Address - Phone:712-318-3351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty