MEDICARE: HONEST SPACE THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1316537160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HONEST SPACE THERAPY, LLC

Provider Business Mailing Address
First Line	:	4512 QUESADA CT
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-6337
Country	:	US
Telephone Number	:	319-240-3021
Fax Number	:

Provider Business Practice Location Address
First Line	:	1810 W 8TH ST STE B
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-2071
Country	:	US
Telephone Number	:	319-240-3021
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HAYLEY DOWNEY
Credential	:	LISW
Telephone Number	:	319-240-3021

Provider Enumeration Date	:	01/25/2021
Last Update Date	:	06/10/2026

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