Advance Therapy Mental Health and Recovery Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

01284 Issued in IA

Legal business name

ADVANCE THERAPY MENTAL HEALTH AND RECOVERY SERVICES LLC

Practice address

705 Douglas St Ste 325
Benson BLDG
Sioux City, IA 51101-1016

Phone

(712) 277-3200

Fax

(712) 277-3208

NPI assigned

Apr 16, 2008

Organization subpart

Yes

Parent organization

ADVANCE THERAPY MENTAL HEALTH AND RECOVERY SERVICES LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Bill Coad, BA

Title

Manager

Phone

(712) 277-3200

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Advance therapy Mental Health and recovery services llc Doing business as

Part of

Advance Therapy Mental Health and Recovery Services LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary M Ruhland, LISW

  • Clinical Social Worker
  • Sioux City, IA
  • NPI 1326030545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1013181502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 DOUGLAS ST STE 325",
            "address_2": "BENSON BLDG",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011016",
            "telephone_number": "712-277-3200",
            "fax_number": "712-277-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 DOUGLAS ST STE 325",
            "address_2": "BENSON BLDG",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011016",
            "telephone_number": "712-277-3200",
            "fax_number": "712-277-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE THERAPY MENTAL HEALTH AND RECOVERY SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCE THERAPY MENTAL HEALTH AND RECOVERY SERVICES LLC",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "COAD",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "712-277-3200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "01284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2190223",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SOCIAL WORK",
            "identifier": "1041CO7004",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CODE",
            "identifier": "80",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance therapy Mental Health and recovery services llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.