MANDA LEE BOOTHBY LMHC NPI 1356602684

NPI Information

  • NPI: 1356602684
  • Provider Name: MANDA LEE BOOTHBY, LMHC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 616 WILLOW ST, APT 1
    PO BOX 74
    AURELIA, IA
    ZIP 51005
  • Phone: (712) 251-5308

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NPI Details

Manda Lee Boothby, LMHC is a mental health counselor in Aurelia, IA. Manda Lee Boothby, LMHC NPI is 1356602684. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

616 WILLOW ST, APT 1
PO BOX 74
AURELIA, IA
ZIP 51005-074
Phone: (712) 251-5308

The enumeration date for this NPI number is 6/4/2012 and was last updated on 2/3/2025.

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
1101YM0800XCounselorMental Health001324IOWAYes

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: 11/21/2025

NPI Synchronization or Removal

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