Provider Demographics
NPI:1306536032
Name:DEE DEE CHANCE LISW PLLC
Entity type:Organization
Organization Name:DEE DEE CHANCE LISW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARISSA
Authorized Official - Middle Name:D
Authorized Official - Last Name:CHANCE
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:641-799-6528
Mailing Address - Street 1:6677 189TH ST
Mailing Address - Street 2:
Mailing Address - City:ALBIA
Mailing Address - State:IA
Mailing Address - Zip Code:52531-8777
Mailing Address - Country:US
Mailing Address - Phone:641-799-6528
Mailing Address - Fax:
Practice Address - Street 1:6677 189TH ST
Practice Address - Street 2:
Practice Address - City:ALBIA
Practice Address - State:IA
Practice Address - Zip Code:52531-8777
Practice Address - Country:US
Practice Address - Phone:641-799-6528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-08
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty