1285411199 NPI number — JUST THIS MOMENT MINDFUL PSYCHOTHERAPY PLLC

Table of content: JUDITH MARY DALBEY RN (NPI 1962009753)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285411199 NPI number — JUST THIS MOMENT MINDFUL PSYCHOTHERAPY PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JUST THIS MOMENT MINDFUL PSYCHOTHERAPY PLLC
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:
6
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:
1285411199
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/08/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
302 DICKENS ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PARKERSBURG
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50665-2034
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
319-883-1144
Provider Business Mailing Address Fax Number:
319-472-0024

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
302 DICKENS ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PARKERSBURG
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50665-2034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-883-1144
Provider Business Practice Location Address Fax Number:
319-472-0024
Provider Enumeration Date:
09/13/2023

Additional Information

Authorized Official

Authorized Official Last Name:
OZBOURNE NIGRO
Authorized Official First Name:
CANZADIE
Authorized Official Middle Name:
AUTUMN
Authorized Official Title or Position:
OWNER/CLINICIAN
Authorized Official Telephone Number:
319-883-1144

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0058230 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".




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