Healthcare Provider Details

I. General information

NPI: 1578482394
Provider Name (Legal Business Name): GIRASOLES DE PRONOIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 6TH AVE APT 430
DES MOINES IA
50309-1200
US

IV. Provider business mailing address

921 6TH AVE APT 430
DES MOINES IA
50309-1200
US

V. Phone/Fax

Practice location:
  • Phone: 515-779-4315
  • Fax:
Mailing address:
  • Phone: 515-779-4315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DERLY J BEACOM
Title or Position: MENTAL HEALTH THERAPIST
Credential: LISW
Phone: 515-779-4315