# THE BEVERLY CENTER FOR TRAUMA THERAPY, PLLC

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

## Provider details

- **NPI number:** 1881282952
- **Authorized official:** EMBERLY JOE LASHLEY (LMHC)
- **Authorized official phone:** (515) 650-6844

## Contact information

- **Practice address:** 8565 HARBACH BLVD STE 305, CLIVE, IA 50325-1038
- **Practice address phone:** (515) 650-6844
- **Practice address fax:** (515) 650-6768
- **Mailing address:** 155 GLENDALE DR, WAUKEE, IA 50263-8534
- **Mailing address phone:** (480) 232-4076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |

## Other

- **Enumeration date:** 01/05/2021
- **Last updated:** 10/01/2025