Healthcare Provider Details

I. General information

NPI: 1366364630
Provider Name (Legal Business Name): JOBY HOLCOMB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 VALLEY WEST DR STE 200
WEST DES MOINES IA
50266-1902
US

IV. Provider business mailing address

1200 VALLEY WEST DR STE 200
WEST DES MOINES IA
50266-1902
US

V. Phone/Fax

Practice location:
  • Phone: 515-974-9932
  • Fax: 515-864-0175
Mailing address:
  • Phone: 515-974-9932
  • Fax: 515-864-0175

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: JOBY HOLCOMB
Title or Position: OWNER
Credential: LMHC
Phone: 515-974-9932