INNOVATIVE FAMILY THERAPY & PLAY THERAPY CENTER LLC


Address: 409 N 4th St Ste 108, Burlington, IA 52601-5255
Phone: 3197599414

INNOVATIVE FAMILY THERAPY & PLAY THERAPY CENTER LLC (NPI# 1497219653) 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) 1497219653
Entity Type Organization
Organization Name INNOVATIVE FAMILY THERAPY & PLAY THERAPY CENTER LLC
Practice Address 409 N 4th St Ste 108
Burlington
IA 52601-5255
Mailing Address Po Box 12
Burlington
IA 52601-0012
Practice Telephone 3197599414
Mailing Telephone 3197599414
Enumeration Date 2019-01-22
Last Update Date 2019-01-22
Authorized Official Name THERESA RECKLING (OWNER/LMFT)
Authorized Official Telephone 3197599414
Authorized Official Credential MA, LMFT, RPT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers
Y 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Other Data Sources

Entity Type Entity Name Entity Address
Iowa Business Entities INNOVATIVE FAMILY THERAPY & PLAY THERAPY CENTER LLC 409 N 4th St, Burlington, IA 52601

Office Location

Street Address 409 N 4TH ST STE 108
City BURLINGTON
State IA
Zip Code 52601-5255

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033748017 Quentin Eugene Hill Technician 528 South 7th St, Burlington, IA 52601 2020-04-02
1619320645 Alisa Nicole Smith Social Worker 409 N. 4th St., Burlington, IA 52601 2016-07-14
1568870020 Denise Reichman Registered Nurse 2509 Sunrise Ln, Burlington, IA 52601 2014-07-29
1891131355 Ainsley Joyce Fedler Speech-Language Pathologist 9302 Glenmark Drive, Burlington, IA 52601 2013-05-10
1851640932 Melissa A Rupp Optometrist 1035 Lawrence Drive, Suite 106, Burlington, IA 52601 2012-09-05
1508123068 Advanced Home Health Care Home Health 550 S. Roosevelt, Burlington, IA 52601 2012-04-20
1144591926 David Eric Johnson Pharmacist 201 South Central, Burlington, IA 52601 2012-01-25
1548537525 Michael James Colgan Pharmacist 3245 Agency Street, Burlington, IA 52601 2011-11-19
1881971190 Elaine Frances Lehman Counselor 724 North 3rd St., Burlington, IA 52601 2011-11-15
1992086508 Jacqueline Gwen Robbins Counselor 4715 Sullivan Slough Road, Burlington, IA 52601 2011-09-09
Find all providers in zip 52601

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033734298 Gurjot Mondair Marriage & Family Therapist 11 Thorn Briar Ln, Burlington, NJ 08016-5131 2020-06-13
1225504863 Debra Denise Adamczyk Marriage & Family Therapist 33 Riverwalk Blvd, Burlington, NJ 08016-1066 2018-10-22
1164802286 Alesia Chestnut-jefferson Marriage & Family Therapist 114 Delaware Ave W, Burlington, NJ 08016-1312 2015-06-03
1285977934 Theresa Reckling Marriage & Family Therapist 205 Washington St Ste 200, Burlington, IA 52601-5261 2013-04-01
1154621209 Danita Sharice Thompson Marriage & Family Therapist 116 W Broad St, Burlington, NJ 08016-1410 2010-10-22
1073726915 Richard Orshoff Marriage & Family Therapist 95 College St, Burlington, VT 05401-8426 2007-05-07
1477605863 Andrew Rader Marriage & Family Therapist 6080 Camp Ernst Rd, Burlington, KY 41005-8354 2007-01-17
1063509495 Joanna Foust Warren Marriage & Family Therapist 2207 Delaney Dr, Burlington, NC 27215-5263 2006-10-06
1255446928 Sandra Sue Schrader Marriage & Family Therapist 80 Daniel Trace, Burlington, CT 06013-1722 2006-08-20
1811909260 Scott E Bair Marriage & Family Therapist 1621 Dodge St, Burlington, IA 52601-3202 2006-08-13
Find all providers in BURLINGTON

Competitor

Search similar providers

City BURLINGTON
Zip Code 52601

Improve Information

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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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