| Stephanie Leach, Llc | |
|
985 Bethel Rd Ste B Columbus OH 43214-1990 | |
| (614) 566-3889 | |
| Not Available |
| Full Name | Stephanie Leach, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 985 Bethel Rd Ste B, Columbus, Ohio |
| Authorized Official Name and Position | Stephanie Leach (OWNER) |
| Authorized Official Contact | 6145638551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Leach, Llc 5671 Preston Woods Rd Columbus OH 43235-4020 Ph: (614) 563-8551 | Stephanie Leach, Llc 985 Bethel Rd Ste B Columbus OH 43214-1990 Ph: (614) 566-3889 |
| NPI Number | 1801677703 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 10/09/2023 |
| Certification Date | 10/08/2023 |
| Medicare PECOS PAC ID | 8022468495 |
|---|---|
| Medicare Enrollment ID | O20231227001965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801677703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Stephanie Leach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326624768 PECOS PAC ID: 9931577814 Enrollment ID: I20231227001937 |
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