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General NPI Number Information
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NPI Number | 1699636035
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Entity Type | Organization
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Legal Business Name | ASHWORTH THERAPY LLC
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 1601 22ND ST STE 305
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City | WEST DES MOINES
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State | IA
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Zip | 50266-1408
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Country | US
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Telephone | 515-207-9485
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Fax | 515-223-1179
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Provider Business Mailing Address
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Address Line | 1601 22ND ST STE 305
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City | WEST DES MOINES
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State | IA
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Zip | 50266-1408
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Country | US
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Telephone | 515-207-9485
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Fax | 515-223-1179
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | MATTHEW C BECKER
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Credential | LISW
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Telephone | 515-207-9485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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