Healthcare Provider Details

I. General information

NPI: 1083707509
Provider Name (Legal Business Name): MISS LORI MARIE SALSBURY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LORI NELSON-SALSBURY LMHC

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 UNIVERSITY AVENUE SUITE 135
WINDSOR HEIGHTS IA
50311-1505
US

IV. Provider business mailing address

6900 UNIVERSITY AVENUE SUITE 135
WINDSOR HEIGHTS IA
50311-1505
US

V. Phone/Fax

Practice location:
  • Phone: 515-243-1020
  • Fax: 515-883-1946
Mailing address:
  • Phone: 515-243-1020
  • Fax: 515-883-1946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number00454
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number05408
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: