NPI Code Details Logo

NPI 1639032717

NPI 1639032717 : KELSEY MYERS LLC : WEST DES MOINES, IA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1639032717
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    KELSEY MYERS LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/05/2025
-----------------------------------------------------
    Last Update Date     |    12/05/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1200 VALLEY WEST DR STE 102 
-----------------------------------------------------
    City                 |    WEST DES MOINES
-----------------------------------------------------
    State                |    IA
-----------------------------------------------------
    Zip                  |    50266-1902
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    515-421-9906
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1200 VALLEY WEST DR STE 102 
-----------------------------------------------------
    City                 |    WEST DES MOINES
-----------------------------------------------------
    State                |    IA
-----------------------------------------------------
    Zip                  |    50266-1902
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    515-421-9906
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     KELSEY  MYERS 
-----------------------------------------------------
    Credential           |    LMFT
-----------------------------------------------------
    Telephone            |    712-298-0701
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    106H00000X
-----------------------------------------------------
    Taxonomy Name        |    Marriage & Family Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.