Provider Demographics
NPI:1477214468
Name:OWINGS, TARYN PEPPING
Entity type:Individual
Prefix:
First Name:TARYN
Middle Name:PEPPING
Last Name:OWINGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 SW STATE ST STE 2C
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-2547
Mailing Address - Country:US
Mailing Address - Phone:515-612-8729
Mailing Address - Fax:
Practice Address - Street 1:1200 SW STATE ST STE 2C
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-2547
Practice Address - Country:US
Practice Address - Phone:515-612-8729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-03
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA110618101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health