Healthcare Provider Details

I. General information

NPI: 1063376515
Provider Name (Legal Business Name): HOPEFUL MINDS THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E BRIDGE RD STE C
POLK CITY IA
50226-8011
US

IV. Provider business mailing address

709 DAVIS ST
POLK CITY IA
50226-2013
US

V. Phone/Fax

Practice location:
  • Phone: 563-451-9558
  • Fax:
Mailing address:
  • Phone: 563-451-9558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JESSICA WARD
Title or Position: LMHC
Credential: LMHC
Phone: 563-451-9558