# CENTRAL IOWA MENTAL HEALTH ORGANIZATION

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

## Provider details

- **NPI number:** 1982488540
- **Authorized official:** MICHELLE STEWART-SANDUSKY MS (CLINICAL DIRECTOR)
- **Authorized official phone:** (515) 451-7812

## Contact information

- **Practice address:** 4725 MERLE HAY RD STE 205, DES MOINES, IA 50322-1983
- **Practice address phone:** (515) 528-8135
- **Mailing address:** 4725 MERLE HAY RD STE 205, DES MOINES, IA 50322-1983
- **Mailing address phone:** (515) 528-8135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |

## Other

- **Enumeration date:** 08/23/2023
- **Last updated:** 08/23/2023