=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811872898
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SEELY PSYCHOTHERAPY SERVICES, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/08/2025
-----------------------------------------------------
Last Update Date | 08/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 974 73RD ST STE 24
-----------------------------------------------------
City | WEST DES MOINES
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50265-1200
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 515-267-9054
-----------------------------------------------------
Fax | 515-267-9057
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 974 73RD ST STE 24
-----------------------------------------------------
City | WEST DES MOINES
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50265-1200
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 515-267-9054
-----------------------------------------------------
Fax | 515-267-9057
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | AARON SEELY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 515-267-9054
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------