Healthcare Provider Details

I. General information

NPI: 1417870148
Provider Name (Legal Business Name): ALEXIS MOWREY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 VALLEY WEST DR STE 700
WEST DES MOINES IA
50266-1907
US

IV. Provider business mailing address

636 LINNWILL PL
WEST DES MOINES IA
50265-3720
US

V. Phone/Fax

Practice location:
  • Phone: 515-619-6927
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number140413
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: