Provider Demographics
NPI:1578057949
Name:KALM THERAPY GROUP PLLC
Entity Type:Organization
Organization Name:KALM THERAPY GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LINDHOLM
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:515-327-7036
Mailing Address - Street 1:6150 VILLAGE VIEW DR STE 102
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-5889
Mailing Address - Country:US
Mailing Address - Phone:515-327-7036
Mailing Address - Fax:515-875-4895
Practice Address - Street 1:6150 VILLAGE VIEW DR STE 102
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-5889
Practice Address - Country:US
Practice Address - Phone:515-327-7036
Practice Address - Fax:515-875-4895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-19
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA064261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty