MEDICARE: LAURA LEADLEY LMFT, CADC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	094152	IA
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	17126	IA

General Provider Information

NPI Number	:	1932656410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA LEADLEY LMFT, CADC

Provider Business Mailing Address
First Line	:	118 E 18TH ST
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-4276
Country	:	US
Telephone Number	:	319-217-7495
Fax Number	:

Provider Business Practice Location Address
First Line	:	118 E 18TH ST
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-4276
Country	:	US
Telephone Number	:	319-219-7496
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2016
Last Update Date	:	07/02/2026

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