Healthcare Provider Details

I. General information

NPI: 1598695595
Provider Name (Legal Business Name): SPORTS MENTAL SKILLS TRAINING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2963 100TH ST STE 1
URBANDALE IA
50322-5513
US

IV. Provider business mailing address

2963 100TH ST STE 1
URBANDALE IA
50322-5513
US

V. Phone/Fax

Practice location:
  • Phone: 515-329-4466
  • Fax: 515-644-4986
Mailing address:
  • Phone: 515-329-4466
  • Fax: 515-644-4986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. AARON QUINN
Title or Position: OWNER
Credential: PH.D.
Phone: 515-865-2986