MEDICARE: LONEYLOHRDANNEN LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	1041C0700X	Clinical Social Worker
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1144939695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LONEYLOHRDANNEN LLC

Provider Business Mailing Address
First Line	:	950 OFFICE PARK RD STE 235
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50265-2121
Country	:	US
Telephone Number	:	515-200-3770
Fax Number	:	515-217-6645

Provider Business Practice Location Address
First Line	:	950 OFFICE PARK RD STE 235
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50265-2121
Country	:	US
Telephone Number	:	515-200-3770
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	DAYINARA CAMPBELL-STURM
Credential	:
Telephone Number	:	515-200-3770

Provider Enumeration Date	:	11/22/2022
Last Update Date	:	05/08/2023

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Directions to “LONEYLOHRDANNEN LLC ” Practice Location

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