Provider Demographics
NPI:1386125318
Name:FAMILY WELLBEING ASSOCIATES, LLC
Entity type:Organization
Organization Name:FAMILY WELLBEING ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:THEURER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-775-0074
Mailing Address - Street 1:27 KEARNEY CT
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-2799
Mailing Address - Country:US
Mailing Address - Phone:319-551-2498
Mailing Address - Fax:319-774-6775
Practice Address - Street 1:723 PACHA PKWY
Practice Address - Street 2:
Practice Address - City:NORTH LIBERTY
Practice Address - State:IA
Practice Address - Zip Code:52317-4796
Practice Address - Country:US
Practice Address - Phone:319-775-0074
Practice Address - Fax:319-774-6775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-28
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty