Healthcare Provider Details

I. General information

NPI: 1740115617
Provider Name (Legal Business Name): ARCHIE MAE DONAHUE-KLEFFMAN MS, T-LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BROOKE-LYNN HAWTHORNE

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 N ANKENY BLVD STE 100
ANKENY IA
50023-1749
US

IV. Provider business mailing address

213 N ANKENY BLVD STE 100
ANKENY IA
50023-1749
US

V. Phone/Fax

Practice location:
  • Phone: 515-289-3757
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number134714
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: