Healthcare Provider Details

I. General information

NPI: 1083534986
Provider Name (Legal Business Name): WAYPOINT MENTAL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6009 N THORNWOOD AVE
DAVENPORT IA
52806-2760
US

IV. Provider business mailing address

102 E 2ND ST
DAVENPORT IA
52801-1502
US

V. Phone/Fax

Practice location:
  • Phone: 563-265-1773
  • Fax:
Mailing address:
  • Phone: 563-265-1773
  • Fax:

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: ANDY JAMES VANDERCOY
Title or Position: MEMBER
Credential: LMHC, LCPC, NCC
Phone: 563-265-1773