# MOONSTONE WELLNESS

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

## Provider details

- **NPI number:** 1023992542
- **Authorized official:** ANGELA TROUTNER LMHC (SOLE MEMBER)
- **Authorized official phone:** (641) 485-7133

## Contact information

- **Practice address:** 10530 NEW YORK AVE \# 4, URBANDALE, IA 50322-3775
- **Practice address phone:** (641) 485-7133
- **Mailing address:** 2277 COUNTRY CLUB BLVD, CLIVE, IA 50325-8602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2025
- **Last updated:** 08/05/2025