Access Evaluation and Education Services, L.L.C.
Organization Active NPI Community/Behavioral Health Agency · Waterloo, IA
NPI 1932633609 · NPPES record last updated Jul 17, 2023
Key facts
- NPI
- 1932633609
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 1401 (IA)
- Legal business name
- ACCESS EVALUATION AND EDUCATION SERVICES, L.L.C.
- Practice address
- 3640 Canterbury CT
Waterloo, IA 50702-5705 - Phone
- (319) 252-4631
- NPI assigned
- Apr 19, 2017
- Organization subpart
- No
Authorized official
- Name
- Amy Renee Bonebrake, MSW, CADC, SAP
- Title
- Owner/ Director
- Phone
- (319) 252-4631
Practitioners 2
-
Amy R Bonebrake, LMSW, CADC, SAP
-
Cara Beth Boubin, CADC
National Provider Directory
Locations
1903 W Ridgeway Ave
Waterloo, IA 50701
Phone (319) 252-4631
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Social Worker |
104100000X | |||
| Addiction Medicine (Family Medicine) Physician |
207QA0401X | |||
| Community/Behavioral Health Agency | 251S00000X | 1401 | IA | Yes |
Addresses
Primary practice location
3640 Canterbury CT
Waterloo, IA 50702-5705
Mailing address
3640 Canterbury CT
Waterloo, IA 50702-5705
Phone (319) 252-4631
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316467061 | Medicaid | IA | |
| 1932633609 | Medicaid | IA | |
| 1073291902 | Medicaid | IA | |
| 1316001845 | Medicaid | IA | |
| 1356788616 | Medicaid | IA |
Other names
- Access Evaluations and Education
- Access Wellness and Recovery Center
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2023. 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.