Provider Demographics
NPI:1881466225
Name:AJ AND J THERAPY AND CONSULTING PLLC
Entity type:Organization
Organization Name:AJ AND J THERAPY AND CONSULTING PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:JORDAHL-JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:515-368-9966
Mailing Address - Street 1:702 SW 4TH ST STE 114
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-2964
Mailing Address - Country:US
Mailing Address - Phone:515-368-9966
Mailing Address - Fax:515-478-7264
Practice Address - Street 1:702 SW 4TH ST STE 114
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-2964
Practice Address - Country:US
Practice Address - Phone:515-368-9966
Practice Address - Fax:515-478-7264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty