| Leighann Bode, Lcsw Llc | |
|
1117 Cypress Falls Ct North Las Vegas NV 89081-2938 | |
| (773) 531-9189 | |
| Not Available |
| Full Name | Leighann Bode, Lcsw Llc |
|---|---|
| Speciality | Counselor |
| Location | 1117 Cypress Falls Ct, North Las Vegas, Nevada |
| Authorized Official Name and Position | Leighann Marie Bode (OWNER) |
| Authorized Official Contact | 7735319189 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leighann Bode, Lcsw Llc 0n244 Peter Rd Winfield IL 60190-1116 Ph: (773) 531-9189 | Leighann Bode, Lcsw Llc 1117 Cypress Falls Ct North Las Vegas NV 89081-2938 Ph: (773) 531-9189 |
| NPI Number | 1922613025 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 09/15/2020 |
| Certification Date | 09/15/2020 |
| Medicare PECOS PAC ID | 9234558644 |
|---|---|
| Medicare Enrollment ID | O20201005002212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922613025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Leighann M Bode |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487953642 PECOS PAC ID: 9436450061 Enrollment ID: I20151223001241 |
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