Healthcare Provider Details

I. General information

NPI: 1487505996
Provider Name (Legal Business Name): LEAH C OWENSBY CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

1701 48TH ST STE 120
WEST DES MOINES IA
50266-6723
US

IV. Provider business mailing address

1701 48TH ST STE 120
WEST DES MOINES IA
50266-6723
US

V. Phone/Fax

Practice location:
  • Phone: 515-331-0303
  • Fax: 515-331-9086
Mailing address:
  • Phone: 515-331-0303
  • Fax: 515-331-9086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number24037
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: