| Ananda Mental Wellness And Yoga, Llc | |
|
4685 Merle Hay Rd Ste 108 Des Moines IA 50322-1982 | |
| (515) 494-1024 | |
| Not Available |
| Full Name | Ananda Mental Wellness And Yoga, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4685 Merle Hay Rd Ste 108, Des Moines, Iowa |
| Authorized Official Name and Position | Amber Lee Wilson (OWNER) |
| Authorized Official Contact | 5154941024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ananda Mental Wellness And Yoga, Llc 4685 Merle Hay Rd Ste 108 Des Moines IA 50322-1982 Ph: (515) 494-1024 | Ananda Mental Wellness And Yoga, Llc 4685 Merle Hay Rd Ste 108 Des Moines IA 50322-1982 Ph: (515) 494-1024 |
| NPI Number | 1710508197 |
|---|---|
| Provider Enumeration Date | 04/27/2020 |
| Last Update Date | 04/27/2020 |
| Certification Date | 04/27/2020 |
| Medicare PECOS PAC ID | 7618308313 |
|---|---|
| Medicare Enrollment ID | O20200513001956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710508197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Amber Lee Crosby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194226670 PECOS PAC ID: 8527499227 Enrollment ID: I20200513002025 |
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