Organization
EVOLVE MENTAL HEALTH, LLC
Active
Other names
Evolve Mental Health, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MARIA LANTOW PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
(515) 992-2141
Entity
Organization
Contact information
Practice address
1301 50TH ST, WEST DES MOINES, IA 50266-1705
(515) 992-2141
(515) 895-1130
Mailing address
8913 HIGHLAND OAKS DR, JOHNSTON, IA 50131-2225
(515) 770-4804
(515) 895-1130
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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