Healthcare Provider Details

I. General information

NPI: 1013878644
Provider Name (Legal Business Name): PROJECT BATMAN, LLC. DBA INNER SPACE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2025
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1251 KEOSAUQUA WAY
DES MOINES IA
50309-1013
US

IV. Provider business mailing address

1251 KEOSAUQUA WAY
DES MOINES IA
50309-1013
US

V. Phone/Fax

Practice location:
  • Phone: 515-630-0210
  • Fax:
Mailing address:
  • Phone: 515-630-0210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: HEATHER LYNNE PICKART
Title or Position: CO-OWNER
Credential: LISW
Phone: 515-630-0210