Provider Demographics
NPI:1003507708
Name:DEENA LEONARD, LLC
Entity Type:Organization
Organization Name:DEENA LEONARD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:515-210-4701
Mailing Address - Street 1:7328 MOONLIGHT DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-4722
Mailing Address - Country:US
Mailing Address - Phone:515-210-4701
Mailing Address - Fax:
Practice Address - Street 1:7328 MOONLIGHT DR
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-4722
Practice Address - Country:US
Practice Address - Phone:515-210-4701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)