| Deena Leonard, Llc | |
|
7328 Moonlight Dr Johnston IA 50131-4722 | |
| (515) 210-4701 | |
| Not Available |
| Full Name | Deena Leonard, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7328 Moonlight Dr, Johnston, Iowa |
| Authorized Official Name and Position | Deena Leonard (THERAPIST) |
| Authorized Official Contact | 5152104701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deena Leonard, Llc 7328 Moonlight Dr Johnston IA 50131-4722 Ph: (515) 210-4701 | Deena Leonard, Llc 7328 Moonlight Dr Johnston IA 50131-4722 Ph: (515) 210-4701 |
| NPI Number | 1003507708 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 05/15/2023 |
| Certification Date | 05/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003507708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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