Provider Demographics
NPI:1952177693
Name:WELLNESS IOWA PLLC
Entity Type:Organization
Organization Name:WELLNESS IOWA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:TALLON
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:515-520-7877
Mailing Address - Street 1:1200 VALLEY WEST DR STE 203
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-1902
Mailing Address - Country:US
Mailing Address - Phone:515-619-6927
Mailing Address - Fax:515-619-6927
Practice Address - Street 1:1200 VALLEY WEST DR STE 203
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1902
Practice Address - Country:US
Practice Address - Phone:515-619-6927
Practice Address - Fax:515-619-6927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty