# THERAMIND

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023983046
- **Authorized official:** DANIELLE MALATEK (APRN)
- **Authorized official phone:** (319) 305-3737

## Contact information

- **Practice address:** 6701 COPORATE DR, 4165, JOHNSTON, IA 50131
- **Practice address phone:** (319) 305-3737
- **Mailing address:** 30 N GOULD ST STE R, SHERIDAN, WY 82801-6317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2025
- **Last updated:** 10/08/2025