DES MOINES PASTORAL COUNSELING CENTER NPI 1578574786

NPI Information

NPI: 1578574786
Provider Name: DES MOINES PASTORAL COUNSELING CENTER
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
8553 URBANDALE AVE
DES MOINES PASTORAL COUNSELING CENTER
URBANDALE, IA
ZIP 50322
Phone: (515) 274-4006
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DES MOINES PASTORAL COUNSELING CENTER is a mental health counselor in Urbandale, IA. DES MOINES PASTORAL COUNSELING CENTER NPI is 1578574786. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8553 URBANDALE AVE
DES MOINES PASTORAL COUNSELING CENTER
URBANDALE, IA
ZIP 50322-108
Phone: (515) 274-4006
Fax: (515) 255-5697

The provider's authorized official is Ellery H Duke .
The authorized official title is Executive Director and has the following contact phone number (515) 274-4006.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 4/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	70044	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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