Healthcare Provider Details

I. General information

NPI: 1710972732
Provider Name (Legal Business Name): LYVIER L ASCHENBRENNER MS LMHC ACADC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: LYVIER L BUSCH

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 E ALTA VISTA AVE
OTTUMWA IA
52501-1413
US

IV. Provider business mailing address

312 E ALTA VISTA AVE
OTTUMWA IA
52501-1413
US

V. Phone/Fax

Practice location:
  • Phone: 641-684-3138
  • Fax: 641-684-3198
Mailing address:
  • Phone: 641-684-3138
  • Fax: 641-684-3198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number040089
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number00699
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: