Individual
SHANNON TRACY WELCH GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
8553 URBANDALE AVE, URBANDALE, IA 50322-4108
(515) 274-4006
(515) 255-5697
Mailing address
8553 URBANDALE AVE, URBANDALE, IA 50322-4108
(515) 274-4006
(515) 255-5697
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001036
IA
103T00000X
Psychologist
Primary
001121
IA
103TH0100X
Health Service Psychologist
000562
IA
Other
Enumeration date
08/01/2007
Last updated
07/16/2026
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