Healthcare Provider Details

I. General information

NPI: 1972499549
Provider Name (Legal Business Name): ANA MARIA GUADALUPE KURTZ TLMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 FLINDT DR STE 104
STORM LAKE IA
50588-3208
US

IV. Provider business mailing address

824 FLINDT DR STE 104
STORM LAKE IA
50588-3208
US

V. Phone/Fax

Practice location:
  • Phone: 800-242-5101
  • Fax:
Mailing address:
  • Phone: 800-242-5101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number133314
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: