Healthcare Provider Details

I. General information

NPI: 1023506813
Provider Name (Legal Business Name): LEANNA NEUSCHWANDER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2018
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 25TH AVE S
SAINT CLOUD MN
56301-4841
US

IV. Provider business mailing address

600 25TH AVE S
SAINT CLOUD MN
56301-4841
US

V. Phone/Fax

Practice location:
  • Phone: 320-413-6413
  • Fax:
Mailing address:
  • Phone: 320-413-6413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number3426
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: