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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