1265820674 NPI number — HELEN KUDOS COUNSELING SERVICES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265820674 NPI number — HELEN KUDOS COUNSELING SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HELEN KUDOS COUNSELING SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265820674
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/07/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
325 N 4TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST BRANCH
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
52358-9658
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
319-643-5469
Provider Business Mailing Address Fax Number:
319-337-0686

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
221 E COLLEGE ST
Provider Second Line Business Practice Location Address:
SUITE 211
Provider Business Practice Location Address City Name:
IOWA CITY
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52240-1699
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-337-3313
Provider Business Practice Location Address Fax Number:
319-337-0686
Provider Enumeration Date:
01/07/2015

Additional Information

Authorized Official

Authorized Official Last Name:
KUDOS
Authorized Official First Name:
HELEN
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
COUNSELOR/OWNER
Authorized Official Telephone Number:
319-643-5469

Provider Taxonomy Codes

  • Taxonomy code: 261QM0850X , with the licence number:  01088 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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