MELISSA DEE LARSEN NPI 1619379724

NPI Information

  • NPI: 1619379724
  • Provider Name: MELISSA DEE LARSEN
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 5005 DOUGLAS AVE
    SUITE 101
    DES MOINES, IA
    ZIP 50310
  • Phone: (515) 724-8920

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NPI Details

MELISSA DEE LARSEN is a mental health (including community mental health center) clinic center in Des Moines, IA. MELISSA DEE LARSEN NPI is 1619379724. The provider is registered as an organization entity type.

The provider's business location address is:

5005 DOUGLAS AVE
SUITE 101
DES MOINES, IA
ZIP 50310-760
Phone: (515) 724-8920
Fax: (888) 771-3225

The provider's authorized official is Melissa Dee Larsen .
The authorized official title is Arnp and has the following contact phone number (515) 250-4194.

The enumeration date for this NPI number is 9/19/2014 and was last updated on 9/19/2014.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)G087693IOWAYes

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

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