Healthcare Provider Details

I. General information

NPI: 1578484291
Provider Name (Legal Business Name): LISA WALTON COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2708 GRAND AVE
DES MOINES IA
50312-5218
US

IV. Provider business mailing address

3436 VILLAGE RUN DR
DES MOINES IA
50317-4967
US

V. Phone/Fax

Practice location:
  • Phone: 515-707-5931
  • Fax:
Mailing address:
  • Phone: 515-707-5931
  • 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: LISA WALTON
Title or Position: OWNER
Credential: MSW, LISW
Phone: 515-707-5931