Healthcare Provider Details

I. General information

NPI: 1477499838
Provider Name (Legal Business Name): LYNNE VESTAL COUNSELING, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6750 WESTOWN PKWY STE 200-238
WEST DES MOINES IA
50266-7723
US

IV. Provider business mailing address

6750 WESTOWN PKWY STE 200-238
WEST DES MOINES IA
50266-7723
US

V. Phone/Fax

Practice location:
  • Phone: 515-446-9530
  • Fax:
Mailing address:
  • Phone: 515-446-9530
  • Fax:

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: LYNNE VESTAL
Title or Position: OWNER
Credential: LMHC
Phone: 515-446-9530