Healthcare Provider Details

I. General information

NPI: 1548104904
Provider Name (Legal Business Name): EVOLVE PSYCHOTHERAPY & CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3209 INGERSOLL AVE STE 100
DES MOINES IA
50312-3920
US

IV. Provider business mailing address

245 NW COPPERLEAF CT
WAUKEE IA
50263-2909
US

V. Phone/Fax

Practice location:
  • Phone: 515-461-1569
  • Fax: 515-207-1705
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIDGETTE C HENSLEY
Title or Position: OWNER/PRESIDENBT
Credential: PSY.D.
Phone: 608-780-6714