Provider Demographics
NPI: | 1811337389 |
---|---|
Name: | METRO WEST LEARNING CENTER, LLC |
Entity type: | Organization |
Organization Name: | METRO WEST LEARNING CENTER, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER/PRESIDENT/MANAGING MEMBER |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | TONI |
Authorized Official - Middle Name: | J |
Authorized Official - Last Name: | MERFELD |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 515-987-8835 |
Mailing Address - Street 1: | 13300 HICKMAN RD STE 110 |
Mailing Address - Street 2: | |
Mailing Address - City: | CLIVE |
Mailing Address - State: | IA |
Mailing Address - Zip Code: | 50325-8616 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 515-987-8835 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 13300 HICKMAN RD STE 110 |
Practice Address - Street 2: | |
Practice Address - City: | CLIVE |
Practice Address - State: | IA |
Practice Address - Zip Code: | 50325 |
Practice Address - Country: | US |
Practice Address - Phone: | 515-987-8835 |
Practice Address - Fax: | 515-987-8835 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-06-28 |
Last Update Date: | 2024-02-27 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | Group - Multi-Specialty | |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 225XF0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Feeding, Eating & Swallowing | Group - Multi-Specialty |
No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
No | 106E00000X | Behavioral Health & Social Service Providers | Assistant Behavior Analyst | Group - Multi-Specialty | |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
No | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Multi-Specialty |