FAMILY COUNSELING & PSYCHOLOGY CENTER P.C.


Address: 2485 Tech Dr, Bettendorf, IA 52722-3262
Phone: 5633551611

FAMILY COUNSELING & PSYCHOLOGY CENTER P.C. (NPI# 1083719587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083719587
Entity Type Organization
Organization Name FAMILY COUNSELING & PSYCHOLOGY CENTER P.C.
Practice Address 2485 Tech Dr
Bettendorf
IA 52722-3262
Practice Telephone 5633551611
Practice Fax Number 5633556617
Mailing Telephone 5633551611
Mailing Fax Number 5633556617
Enumeration Date 2006-09-13
Last Update Date 2009-06-22
Authorized Official Name COLLIN ANDREW LODICO (OWNER)
Authorized Official Telephone 5633551611
Authorized Official Credential PH. D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IA 0263178 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1457544850 Family Counseling & Psychology Center P.C. Clinic/Center 303 18th St, Rock Island, IL 61201-8715 2007-08-20

Office Location

Street Address 2485 TECH DR
City BETTENDORF
State IA
Zip Code 52722-3262

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164410924 Daniel E Jens Social Worker 2485 Tech Dr, Bettendorf, IA 52722-3262 2005-10-06
1033566054 Andrea Iavarone Social Worker 2485 Tech Dr, Bettendorf, IA 52722-3262 2016-05-19
1710370549 Carla Sue Hermann Pharmacy Technician 2485 Tech Dr, Bettendorf, IA 52722-3262 2015-03-18
1497910608 Laura M Stephens Social Worker 2485 Tech Dr, Bettendorf, IA 52722-3262 2008-07-28
1043354202 Tammy Ann Saskowski Social Worker 2485 Tech Dr, Bettendorf, IA 52722-3262 2007-02-19
1821182163 Amy Harksen Counselor 2485 Tech Dr, Bettendorf, IA 52722-3262 2006-10-03
1295820769 Scott Caldwell Social Worker 2485 Tech Dr, Bettendorf, IA 52722-3262 2006-10-03
1730272212 Lisa Schmitz-beecher Counselor 2485 Tech Dr, Bettendorf, IA 52722-3262 2006-10-02
1013009943 Kimberly Corts Social Worker 2485 Tech Dr, Bettendorf, IA 52722-3262 2006-09-28
1851494561 Melissa Michelle Estes Counselor 2485 Tech Dr, Bettendorf, IA 52722-3262 2006-09-07
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NPI Name Taxonomy Address Enumeration
1770198855 Wellspire-bettendorf LLC Skilled Nursing Facility 4699 53rd Ave, Bettendorf, IA 52722 2020-09-15
1558873315 Erin M Kohrt Speech-Language Pathologist 2500 Grant Street, Bettendorf, IA 52722 2017-11-01
1437680295 Holli Christine Martin Chiropractor 3048 Victoria St., Bettendorf, IA 52722 2017-03-23
1598219552 Alyssa Renee Matz Counselor 2435 Kimberly Rd Ste 96, Bettendorf, IA 52722 2016-08-08
1144625021 Athletico Ltd Physical Therapist 3252 Ridge Point, Bettendorf, IA 52722 2014-11-04
1609282862 Katherine L Browne Nurse Practitioner 1351 Kimberly Rd Ste 100, Bettendorf, IA 52722 2014-07-09
1316357494 Kayla Leigh Ehrman Family Medicine 2535 Maplecrest Rd Ste 16, Bettendorf, IA 52722 2014-04-29
1043648454 Duane Anthony Halbur Jr. Counselor 2420 Salem Ct, Bettendorf, IA 52722 2013-10-22
1376881185 Christopher D Murphy Physical Therapist 2300 53rd Ave Ll02, Bettendorf, IA 52722 2013-01-29
1326386574 Kelly C Harry Occupational Therapist 3470 Utica Ridge Road, Suite 4, Bettendorf, IA 52722 2013-01-23
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1457986457 Compassionate Counseling LLC Clinic/Center 402 N B St Ste 104, Fairfield, IA 52556-2971 2020-03-10
1053945576 North Central Iowa Mental Health Center Inc Clinic/Center 2633 Anchorage Rd Ne, Solon, IA 52333-9556 2020-02-24
1811533649 Community Health Centers of Southern Iowa, Inc. Clinic/Center 219 W Washington St Ste 300, Osceola, IA 50213-1249 2019-11-27
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Competitor

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City BETTENDORF
Zip Code 52722

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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