Provider Demographics
NPI:1457041998
Name:THERAPY HUTT, LLC
Entity Type:Organization
Organization Name:THERAPY HUTT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUTT
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:515-210-1679
Mailing Address - Street 1:1200 VALLEY WEST DR
Mailing Address - Street 2:STE 704
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-1907
Mailing Address - Country:US
Mailing Address - Phone:515-210-1679
Mailing Address - Fax:515-325-8177
Practice Address - Street 1:1200 VALLEY WEST DR
Practice Address - Street 2:STE 704
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1907
Practice Address - Country:US
Practice Address - Phone:515-316-6033
Practice Address - Fax:515-325-8177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty