Healthcare Provider Details

I. General information

NPI: 1245996743
Provider Name (Legal Business Name): HOLLY A CONLEE LMHC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2021
Last Update Date: 11/10/2021
Certification Date: 11/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3408 WOODLAND AVE STE 102
WEST DES MOINES IA
50266-6504
US

IV. Provider business mailing address

3215 NE 5TH LN
ANKENY IA
50021-8137
US

V. Phone/Fax

Practice location:
  • Phone: 319-601-9838
  • Fax: 515-528-7866
Mailing address:
  • Phone: 515-528-7856
  • Fax: 515-528-7866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: HOLLY ANN CONLEE
Title or Position: OWNER
Credential: LMHC
Phone: 515-528-7856