Healthcare Provider Details

I. General information

NPI: 1932756376
Provider Name (Legal Business Name): AJM COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2019
Last Update Date: 10/27/2022
Certification Date: 10/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4685 MERLE HAY RD STE 108
DES MOINES IA
50322-1982
US

IV. Provider business mailing address

4685 MERLE HAY RD STE 108
DES MOINES IA
50322-1982
US

V. Phone/Fax

Practice location:
  • Phone: 402-321-1295
  • Fax:
Mailing address:
  • Phone: 402-321-1295
  • 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 Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: AMY J MUELL
Title or Position: LLC OWNER
Credential:
Phone: 402-321-1295