Healthcare Provider Details

I. General information

NPI: 1790671667
Provider Name (Legal Business Name): THE COZY CORNER THERAPY & COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1306 WESTERN COLLEGE RD
CEDAR RAPIDS IA
52404-9152
US

IV. Provider business mailing address

1306 WESTERN COLLEGE RD
CEDAR RAPIDS IA
52404-9152
US

V. Phone/Fax

Practice location:
  • Phone: 319-224-0340
  • Fax:
Mailing address:
  • Phone: 319-224-0340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ASHLEIGH YEARDE
Title or Position: OPT
Credential: LMSW, LCSWA
Phone: 319-224-0340