Healthcare Provider Details

I. General information

NPI: 1992652309
Provider Name (Legal Business Name): BE JUST LOVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 GRAND AVE
DES MOINES IA
50312-5342
US

IV. Provider business mailing address

2501 GRAND AVE
DES MOINES IA
50312-5342
US

V. Phone/Fax

Practice location:
  • Phone: 515-344-3163
  • Fax: 515-400-1119
Mailing address:
  • Phone: 515-344-3163
  • Fax: 515-400-1119

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: MR. TYLER CHARLES JACOBS-LEWIS
Title or Position: OWNER/CLINICIAN
Credential: LMHC
Phone: 515-344-3163