Organization
NEW LEAF MENTAL HEALTH THERAPY LLC.
Active
Organization
NEW LEAF MENTAL HEALTH THERAPY LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ANN NYDAM LISW (OWNER)
(515) 832-0528
Entity
Organization
Contact information
Practice address
12951 UNIVERSITY AVE STE 200C, CLIVE, IA 50325-8297
(515) 832-0528
Mailing address
2755 NW 165TH ST, CLIVE, IA 50325-2514
(515) 238-0528
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
04/07/2026
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