Provider Demographics
NPI:1063374619
Name:THERAPEUTIC ALLIANCE IOWA LLC
Entity type:Organization
Organization Name:THERAPEUTIC ALLIANCE IOWA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GROOMS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:319-214-5053
Mailing Address - Street 1:1435 31ST ST NE STE A
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-4056
Mailing Address - Country:US
Mailing Address - Phone:319-214-5053
Mailing Address - Fax:319-208-3742
Practice Address - Street 1:1435 31ST ST NE STE A
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-4056
Practice Address - Country:US
Practice Address - Phone:319-214-5053
Practice Address - Fax:319-208-3742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-02
Last Update Date:2025-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty