# YOUR SELF-CARE THERAPY LLC

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

## Provider details

- **NPI number:** 1790314243
- **Authorized official:** KELLY M DEROOS (OWNER)
- **Authorized official phone:** (402) 882-0583

## Contact information

- **Practice address:** 300 W BROADWAY STE 240, COUNCIL BLUFFS, IA 51503-9028
- **Practice address phone:** (402) 882-0583
- **Practice address fax:** (712) 254-8829
- **Mailing address:** PO BOX 780, COUNCIL BLUFFS, IA 51502-0780
- **Mailing address phone:** (402) 882-0583

## Taxonomy

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

## Other

- **Enumeration date:** 04/06/2020
- **Last updated:** 11/12/2025