Healthcare Provider Details

I. General information

NPI: 1912811357
Provider Name (Legal Business Name): ERIN ALLEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 W 1ST ST STE B
ANKENY IA
50023-1782
US

IV. Provider business mailing address

220 W 1ST ST STE B
ANKENY IA
50023-1782
US

V. Phone/Fax

Practice location:
  • Phone: 515-620-3192
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: