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General NPI Number Information
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NPI Number | 1952210866
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Entity Type | Organization
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Legal Business Name | AMY ELLIOTT, LLC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 7177 HICKMAN RD STE 9
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City | URBANDALE
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State | IA
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Zip | 50322-4844
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Country | US
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Telephone | 515-238-1217
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Fax |
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Provider Business Mailing Address
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Address Line | 2508 46TH ST
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City | DES MOINES
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State | IA
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Zip | 50310-3113
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | AMY ELLIOTT
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Credential | LISW
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Telephone | 515-238-1217
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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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