Healthcare Provider Details

I. General information

NPI: 1952210569
Provider Name (Legal Business Name): ASSOCIATION OF YOUTH DEVELOPMENT AND ENRICHMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 6TH AVE APT 104
DES MOINES IA
50314-2603
US

IV. Provider business mailing address

1230 6TH AVE APT 104
DES MOINES IA
50314-2603
US

V. Phone/Fax

Practice location:
  • Phone: 515-499-2075
  • Fax:
Mailing address:
  • Phone: 515-499-2075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. LLOYD PRESTON BELL
Title or Position: VICE PRESIDENT
Credential:
Phone: 515-499-2075