Healthcare Provider Details
I. General information
NPI: 1497619019
Provider Name (Legal Business Name): NON ORDINARY THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2001 WESTOWN PKWY STE 101
WEST DES MOINES IA
50265-1540
US
IV. Provider business mailing address
2001 WESTOWN PKWY STE 101
WEST DES MOINES IA
50265-1540
US
V. Phone/Fax
- Phone: 515-981-6181
- Fax:
- Phone: 515-981-6181
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMBER
KERBY
Title or Position: OWNER
Credential: LMFT
Phone: 603-918-7657