Provider Demographics
NPI:1790645588
Name:PEARSON MENTAL HEALTH THERAPY
Entity type:Organization
Organization Name:PEARSON MENTAL HEALTH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALYSON
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:515-971-3554
Mailing Address - Street 1:2322 E KIMBERLY RD STE 265N
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-7224
Mailing Address - Country:US
Mailing Address - Phone:563-349-7948
Mailing Address - Fax:536-214-1681
Practice Address - Street 1:2322 E KIMBERLY RD STE 265N
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-7224
Practice Address - Country:US
Practice Address - Phone:563-349-7948
Practice Address - Fax:563-214-1681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-13
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty