Healthcare Provider Details

I. General information

NPI: 1912813395
Provider Name (Legal Business Name): CHLOE VOGEL TLMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2335 70TH ST BLDG 4
URBANDALE IA
50322-4825
US

IV. Provider business mailing address

2335 70TH ST BLDG 4
URBANDALE IA
50322-4825
US

V. Phone/Fax

Practice location:
  • Phone: 515-274-9690
  • Fax: 515-274-9680
Mailing address:
  • Phone: 515-274-9690
  • Fax: 515-274-9680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number139398
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: