Healthcare Provider Details

I. General information

NPI: 1598514895
Provider Name (Legal Business Name): EYERLY BALL COMMUNITY MENTAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2024
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1319 PENNSYLVANIA AVE
DES MOINES IA
50316
US

IV. Provider business mailing address

1319 PENNSYLVANIA AVE
DES MOINES IA
50316
US

V. Phone/Fax

Practice location:
  • Phone: 515-241-0982
  • Fax: 515-241-0993
Mailing address:
  • Phone: 515-241-0982
  • Fax: 515-241-0993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA L STEIDL BISHOP
Title or Position: CEO
Credential: LISW
Phone: 515-241-0982