| Organization Name: | INTUITIVE HEART COUNSELING SERVICES, LLC |
| NPI Number: | 1013306224 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PENNY JO NICHOLS-PETERSON (OWNER/CLINICAL SOCIAL WORKER) |
| Mailing Address: | 6955 University Ave Windsor Heights |
| State: | IA US |
| Postal Code: | 503241540 |
| Phone Number: | 5158027348 |
| Fax Number: | 5152553944 |
| NPI Enumeration Date: | 01/12/2015 |
| NPI Last Update Date: | 01/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 007260 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |