# SHELLIE MATT PSYCHOTHERAPY

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

## Provider details

- **NPI number:** 1174492276
- **Authorized official:** SHELLIE MATT LMHC (OWNER/PRACTITIONER)
- **Authorized official phone:** (402) 216-6726

## Contact information

- **Practice address:** 2613 SW 19TH ST, ANKENY, IA 50023-7144
- **Practice address phone:** (402) 216-6726
- **Mailing address:** 2613 SW 19TH ST, ANKENY, IA 50023-7144

## Taxonomy

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

## Other

- **Enumeration date:** 11/05/2025
- **Last updated:** 11/05/2025