Healthcare Provider Details

I. General information

NPI: 1609323864
Provider Name (Legal Business Name): KELLY LAMOTTE LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KELLY HEIKENS LAC

II. Dates (important events)

Enumeration Date: 09/06/2016
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 WESTOWN PKWY STE 220
WEST DES MOINES IA
50266-1300
US

IV. Provider business mailing address

2900 WESTOWN PKWY STE 220
WEST DES MOINES IA
50266-1300
US

V. Phone/Fax

Practice location:
  • Phone: 515-599-8890
  • Fax:
Mailing address:
  • Phone: 515-599-8890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLAC-16185
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number084322
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: