Evolve Mental Health, Llc | |
1301 50th St West Des Moines IA 50266-1705 | |
(515) 992-2141 | |
(515) 895-1130 |
Full Name | Evolve Mental Health, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 1301 50th St, West Des Moines, Iowa |
Authorized Official Name and Position | Amanda Maria Lantow (PSYCHIATRIC NURSE PRACTITIONER) |
Authorized Official Contact | 5159922141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Evolve Mental Health, Llc 8913 Highland Oaks Dr Johnston IA 50131-2225 Ph: (515) 770-4804 | Evolve Mental Health, Llc 1301 50th St West Des Moines IA 50266-1705 Ph: (515) 992-2141 |
NPI Number | 1184389058 |
---|---|
Provider Enumeration Date | 11/04/2021 |
Last Update Date | 11/04/2021 |
Certification Date | 11/04/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184389058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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