Healthcare Provider Details

I. General information

NPI: 1790600161
Provider Name (Legal Business Name): AMBERLIGHT THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 COURT AVE STE 222
DES MOINES IA
50309-2259
US

IV. Provider business mailing address

309 COURT AVE STE 222
DES MOINES IA
50309-2259
US

V. Phone/Fax

Practice location:
  • Phone: 515-305-3324
  • Fax: 515-875-4801
Mailing address:
  • Phone: 515-305-3324
  • Fax: 515-875-4801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: AMBER ROBERTS
Title or Position: OWNER
Credential: LMFT
Phone: 515-305-3324