Provider Demographics
NPI:1770313694
Name:ELAINE ONEAL, PLC
Entity type:Organization
Organization Name:ELAINE ONEAL, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:AUBIN
Authorized Official - Last Name:ONEAL
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:207-404-0560
Mailing Address - Street 1:4611 MORTENSEN RD STE 101
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50014-6228
Mailing Address - Country:US
Mailing Address - Phone:515-526-5948
Mailing Address - Fax:
Practice Address - Street 1:4611 MORTENSEN RD STE 101
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50014-6228
Practice Address - Country:US
Practice Address - Phone:515-526-5948
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)