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General NPI Number Information
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NPI Number | 1538023197
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Entity Type | Organization
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Legal Business Name | AMY TIEFENTHALER, LLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1603 22ND ST STE 203
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City | WEST DES MOINES
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State | IA
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Zip | 50266-1410
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Country | US
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Telephone | 515-200-3456
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Fax | 515-217-4820
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Provider Business Mailing Address
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Address Line | 1603 22ND ST STE 203
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City | WEST DES MOINES
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State | IA
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Zip | 50266-1410
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Country | US
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Telephone | 515-200-3456
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Fax | 515-217-4820
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | AMY TIEFENTHALER
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Credential | LMHC
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Telephone | 515-200-3456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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