# DETRICK MENTAL HEALTH COUNSELING SERVICES

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

## Provider details

- **NPI number:** 1992675193
- **Authorized official:** LINGYU DETRICK LMHC (OWNER)
- **Authorized official phone:** (319) 383-5742

## Contact information

- **Practice address:** 1844 17TH ST SE, ALTOONA, IA 50009-2393
- **Practice address phone:** (319) 383-5742
- **Mailing address:** 1300 NE 56TH ST UNIT 57388, DES MOINES, IA 50317-9013
- **Mailing address phone:** (515) 612-8585

## Taxonomy

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

## Other

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