Organization
EVOLVE MENTAL HEALTH, LLC
Active
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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