Healthcare Provider Details

I. General information

NPI: 1326974551
Provider Name (Legal Business Name): HEALING HEARTS TRAUMA THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8515 DOUGLAS AVE STE 19
URBANDALE IA
50322-2924
US

IV. Provider business mailing address

8515 DOUGLAS AVE STE 19
URBANDALE IA
50322-2924
US

V. Phone/Fax

Practice location:
  • Phone: 480-232-4076
  • Fax:
Mailing address:
  • Phone: 480-232-4076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: EMBERLY JOE LASHLEY
Title or Position: CLINICAL DIRECTOR
Credential: MSC LMHC NCC
Phone: 480-232-4076