Provider Demographics
NPI:1598514895
Name:EYERLY BALL COMMUNITY MENTAL HEALTH SERVICES
Entity type:Organization
Organization Name:EYERLY BALL COMMUNITY MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:STEIDL BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:515-241-0982
Mailing Address - Street 1:1319 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50316
Mailing Address - Country:US
Mailing Address - Phone:515-241-0982
Mailing Address - Fax:515-241-0993
Practice Address - Street 1:1319 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50316
Practice Address - Country:US
Practice Address - Phone:515-241-0982
Practice Address - Fax:515-241-0993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-17
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)