| 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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