Provider Demographics
NPI:1962550145
Name:THERAPYWORKS, INC.
Entity type:Organization
Organization Name:THERAPYWORKS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:META
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BRANDL
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:712-323-2747
Mailing Address - Street 1:500 WILLOW AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503-0827
Mailing Address - Country:US
Mailing Address - Phone:712-323-2747
Mailing Address - Fax:712-352-0064
Practice Address - Street 1:500 WILLOW AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-0827
Practice Address - Country:US
Practice Address - Phone:712-323-2747
Practice Address - Fax:712-352-0064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1103028Medicaid