Provider Demographics
NPI:1912166224
Name:TRUE POTENTIAL EDUCATION, LLC
Entity Type:Organization
Organization Name:TRUE POTENTIAL EDUCATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:RENAE
Authorized Official - Last Name:PHILBIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA/CCC/SLP
Authorized Official - Phone:515-218-8445
Mailing Address - Street 1:160 S 68TH ST STE 1101
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-8304
Mailing Address - Country:US
Mailing Address - Phone:515-218-8445
Mailing Address - Fax:515-864-0024
Practice Address - Street 1:160 S 68TH ST STE 1101
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-8304
Practice Address - Country:US
Practice Address - Phone:515-218-8445
Practice Address - Fax:515-864-0024
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE SPEECH LANGUAGE DYSLEXIA CLINIC PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-03
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01709235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty