Healthcare Provider Details

I. General information

NPI: 1023957149
Provider Name (Legal Business Name): HOMETOWN MENTAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 1ST AVE
PERRY IA
50220-1703
US

IV. Provider business mailing address

900 1ST AVE
PERRY IA
50220-1703
US

V. Phone/Fax

Practice location:
  • Phone: 515-834-4064
  • Fax:
Mailing address:
  • Phone: 515-834-4064
  • Fax: 515-859-2842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: HILLIARY MAHLER
Title or Position: OWNER
Credential: ARNP
Phone: 515-834-4064