Healthcare Provider Details

I. General information

NPI: 1568023182
Provider Name (Legal Business Name): INFINITY ASSESSMENT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2019
Last Update Date: 06/14/2022
Certification Date: 06/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E EUCLID AVE STE 131
DES MOINES IA
50313-4540
US

IV. Provider business mailing address

100 E EUCLID AVE STE 131
DES MOINES IA
50313-4540
US

V. Phone/Fax

Practice location:
  • Phone: 515-423-1049
  • Fax:
Mailing address:
  • Phone: 515-423-1049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: JAMIE MAE ALLEN
Title or Position: EXCUTIVE DIRECTOR
Credential:
Phone: 515-423-1049