Midway Equestrian LLC
Organization Active NPI Mental Health Counselor · Northboro, IA
NPI 1801435441 · NPPES record last updated Dec 30, 2019
Key facts
- NPI
- 1801435441
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- MIDWAY EQUESTRIAN LLC
- Practice address
- 4252 310TH St
Northboro, IA 51647-4012 - Phone
- (712) 534-2250
- NPI assigned
- Dec 30, 2019
- Organization subpart
- No
Authorized official
- Name
- Mr. Trevor John Whipple
- Title
- Owner
- Phone
- (712) 350-1105
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
4252 310TH St
Northboro, IA 51647-4012
Mailing address
4252 310TH St
Northboro, IA 51647-4012
Phone (712) 350-1105
Other providers in Northboro, IA
All providers in Northboro, IA · Mental Health Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.