Healthcare Provider Details

I. General information

NPI: 1477470938
Provider Name (Legal Business Name): AYLA LEOPOLD MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 WOODLAND AVE STE 430
WEST DES MOINES IA
50266-1967
US

IV. Provider business mailing address

3737 WOODLAND AVE STE 430
WEST DES MOINES IA
50266-1967
US

V. Phone/Fax

Practice location:
  • Phone: 515-514-0458
  • Fax:
Mailing address:
  • Phone: 515-514-0458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number136197
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: