Healthcare Provider Details

I. General information

NPI: 1376448316
Provider Name (Legal Business Name): LINDA LEONARD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1224 N IDAHO ST STE 2
POST FALLS ID
83854-9024
US

IV. Provider business mailing address

1224 N IDAHO ST STE 2
POST FALLS ID
83854-9024
US

V. Phone/Fax

Practice location:
  • Phone: 208-625-8617
  • Fax:
Mailing address:
  • Phone: 208-625-8617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: LINDA MADREE LEONARD
Title or Position: CEO
Credential: LCSW
Phone: 208-964-4879