Healthcare Provider Details
I. General information
NPI: 1720941347
Provider Name (Legal Business Name): WISE HEART, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
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
3209 INGERSOLL AVE STE 100
DES MOINES IA
50312-3920
US
V. Phone/Fax
- Phone: 515-318-7381
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KARIN
BESCHEN
Title or Position: PRESIDENT
Credential: LMHC
Phone: 515-318-7381