Provider Demographics
NPI:1154196111
Name:KJS THERAPEUTIC SERVICES LLC
Entity type:Organization
Organization Name:KJS THERAPEUTIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SACHAU
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:712-635-5588
Mailing Address - Street 1:1119 4TH ST STE 220
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51101-1930
Mailing Address - Country:US
Mailing Address - Phone:712-635-5588
Mailing Address - Fax:712-268-6876
Practice Address - Street 1:1119 4TH ST STE 220-A
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51101-1900
Practice Address - Country:US
Practice Address - Phone:712-847-2226
Practice Address - Fax:712-268-6876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty