MEDICARE: HATCH THERAPY SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1154253565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HATCH THERAPY SERVICES, LLC

Provider Business Mailing Address
First Line	:	330 NW HORAN CT
Second Line	:
City	:	WAUKEE
State	:	IA
Zip	:	50263-2901
Country	:	US
Telephone Number	:	319-239-5903
Fax Number	:

Provider Business Practice Location Address
First Line	:	4800 AURORA AVE
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50310-2903
Country	:	US
Telephone Number	:	319-239-5903
Fax Number	:

Authorized Official
Title or Position	:	MENTAL HEALTH THERAPIST
Name	:	DAISY HATCH
Credential	:	LISW
Telephone Number	:	319-239-5903

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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