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NPI Code Detail

MEDICARE: EMILY VILLARREAL TLMHC

MEDICARE: EMILY VILLARREAL TLMHC
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
1101YM0800XMental Health Counselor122412IA

General Provider Information

NPI Number : 1902688021
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY VILLARREAL TLMHC
Provider Business Mailing Address
First Line : 1010 SOUTHDALE DR
Second Line :
City : DES MOINES
State : IA
Zip : 50315-6730
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1370 NW 114TH ST STE 100
Second Line :
City : CLIVE
State : IA
Zip : 50325-7008
Country : US
Telephone Number : 515-867-4181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2023
Last Update Date : 09/17/2025

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Directions to “ EMILY VILLARREAL TLMHC” Practice Location

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