Waxwing Psychological Services, Pllc

LBN: Waxwing Psychological Services, Pllc
Waxwing Psychological Services, Pllc is an health care organization with primary practice located at 700 16Th St Ne Ste 206 , Cedar Rapids IA 52402-4665. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is the primary health care specialty. Waxwing Psychological Services, Pllc can be contacted via phone (319) 382-0751, or through Mielke, Anthony J. via phone (319) 382-0751.

Contact Information

Primary practice address
700 16Th St Ne Ste 206 Cedar Rapids IA 52402-4665
Phone: (319) 382-0751
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mielke, Anthony J. DMFT, LMFT
Phone: (319) 382-0751

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1063133189
LBN Legal business name Waxwing Psychological Services, Pllc
DBA Doing business as
Authorized official Mielke, Anthony J. DMFT, LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2022
Last updated Sep 7th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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