| L.e.a.p Org | |
|
1860 Wilma Rudolph Blvd Suite 100 Clarksville TN 37040-6669 | |
| (931) 378-0500 | |
| (931) 274-0929 |
| Full Name | L.e.a.p Org |
|---|---|
| Speciality | Counselor |
| Location | 1860 Wilma Rudolph Blvd, Clarksville, Tennessee |
| Authorized Official Name and Position | Richard Garrett (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9313780500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L.e.a.p Org 1860 Wilma Rudolph Blvd Suite 100 Clarksville TN 37040-6669 Ph: (931) 378-0500 | L.e.a.p Org 1860 Wilma Rudolph Blvd Suite 100 Clarksville TN 37040-6669 Ph: (931) 378-0500 |
| NPI Number | 1912262650 |
|---|---|
| Provider Enumeration Date | 07/09/2012 |
| Last Update Date | 10/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912262650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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