Provider Demographics
NPI:1891376323
Name:POHLMEYER, STEVEN RAYMOND (LISW)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:RAYMOND
Last Name:POHLMEYER
Suffix:
Gender:M
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 SW PLAZA SHOPS LN STE D
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-7168
Mailing Address - Country:US
Mailing Address - Phone:515-508-1150
Mailing Address - Fax:
Practice Address - Street 1:1850 SW PLAZA SHOPS LN STE D
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-7168
Practice Address - Country:US
Practice Address - Phone:515-508-1150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-16
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01258101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty