Healthcare Provider Details

I. General information

NPI: 1508740457
Provider Name (Legal Business Name): LARKSPUR MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 E WASHINGTON ST STE 203E
IOWA CITY IA
52240-3928
US

IV. Provider business mailing address

209 E WASHINGTON ST STE 203E
IOWA CITY IA
52240-3928
US

V. Phone/Fax

Practice location:
  • Phone: 319-359-7073
  • Fax: 775-406-8910
Mailing address:
  • Phone: 319-359-7073
  • Fax: 775-406-8910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAUREN THOMANN
Title or Position: NURSE PRACTITIONER/OWNER
Credential: DNP, ARNP, PMHNP-BC
Phone: 319-359-7073