Provider Demographics
NPI:1306551932
Name:DISCOVERY COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:DISCOVERY COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:BEKKI
Authorized Official - Middle Name:
Authorized Official - Last Name:KLODT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:641-243-5952
Mailing Address - Street 1:PO BOX 1117
Mailing Address - Street 2:
Mailing Address - City:OTTUMWA
Mailing Address - State:IA
Mailing Address - Zip Code:52501-7117
Mailing Address - Country:US
Mailing Address - Phone:641-243-5952
Mailing Address - Fax:
Practice Address - Street 1:616 W 2ND ST UNIT 1117
Practice Address - Street 2:
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501-6631
Practice Address - Country:US
Practice Address - Phone:641-243-5952
Practice Address - Fax:641-206-4847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-18
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1023773074Medicaid