Healthcare Provider Details

I. General information

NPI: 1932656410
Provider Name (Legal Business Name): LAURA LEADLEY LMFT, CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2016
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 E 18TH ST
CEDAR FALLS IA
50613-4276
US

IV. Provider business mailing address

118 E 18TH ST
CEDAR FALLS IA
50613-4276
US

V. Phone/Fax

Practice location:
  • Phone: 319-219-7496
  • Fax:
Mailing address:
  • Phone: 319-217-7495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number094152
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number17126
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: