Healthcare Provider Details

I. General information

NPI: 1477415214
Provider Name (Legal Business Name): CATHERINE STACK, LMHC, LLC DBA ADEL MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 S 7TH ST STE C
ADEL IA
50003-1838
US

IV. Provider business mailing address

309 S 7TH ST STE C
ADEL IA
50003-1838
US

V. Phone/Fax

Practice location:
  • Phone: 515-993-1919
  • Fax: 515-993-1922
Mailing address:
  • Phone: 515-993-1919
  • Fax: 515-993-1922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE ANNE STACK
Title or Position: OWNER AND PROVIDER
Credential: MA, LMHC, NCC
Phone: 515-993-1919