JEFF LEACH (NPI# 1134585714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134585714 |
| Entity Type | Individual |
| Full Name | JEFF LEACH |
| Practice Address |
1800 Bayou Cir Bossier City LA 71112-4037 |
| Practice Telephone | 3185600145 |
| Practice Fax Number | 3186750226 |
| Mailing Telephone | 3185600145 |
| Mailing Fax Number | 3186750226 |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1800 BAYOU CIR |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71112-4037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154810349 | Brittany Ariel Boone | Case Manager/Care Coordinator | 2323 Old Minden Rd Ste 500, Bossier City, LA 71112 | 2018-05-03 |
| 1396254520 | Abartllc | Non-emergency Medical Transport (VAN) | 400 John Wesley Blvd Apt 195, Bossier City, LA 71112 | 2017-09-19 |
| 1124547708 | Kendra Webster | Counselor | 3018 Old Minden Rd. Ste 1200, Bossier City, LA 71112 | 2017-09-14 |
| 1851818009 | Latonya Renee' Williams | Case Manager/Care Coordinator | 5383 Bluebell Dr, Bossier City, LA 71112 | 2017-08-28 |
| 1578084299 | Christian Sledge | Counselor | 1011 Princeton Ave, Bossier City, LA 71112 | 2017-07-03 |
| 1861925240 | Kyanna Williams Cosby | Counselor | 4009 Parkway Dr, Bossier City, LA 71112 | 2017-04-04 |
| 1962858191 | Jemeel Latrice Webb | Case Manager/Care Coordinator | 1787 Southview Drive, Bossier City, LA 71112 | 2016-05-06 |
| 1174986244 | Jaquitua Russell | Case Manager/Care Coordinator | 5005 Longstreet Pl Unit 1, Bossier City, LA 71112 | 2016-04-05 |
| 1528423175 | Deanna Lorraine Edwards | Contractor | 4007 Parkway Dr, Bossier City, LA 71112 | 2015-12-28 |
| 1700258605 | Derrick Thomas | Counselor | 2601 Hoyer St, Bossier City, LA 71112 | 2015-10-30 |
| Find all providers in zip 71112 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386266922 | Kayla Richards | Counselor | 6201 Venecia Dr, Bossier City, LA 71111-7448 | 2020-05-16 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1902325947 | Marjorie Alden Murphy | Counselor | 2200 General Mcnair Dr, Bossier City, LA 71112-4758 | 2017-09-11 |
| 1043761323 | Erin Shocklee | Counselor | 2182 Stockwell Rd, Bossier City, LA 71111-5754 | 2016-10-20 |
| 1407243009 | Katherine Swagger | Counselor | 4407 Deidra St, Bossier City, LA 71111-5230 | 2015-04-21 |
| 1194099259 | Shannon K Fowler | Counselor | 1515 Doctors Dr Ste 16, Bossier City, LA 71111 | 2012-03-06 |
| 1285269928 | Jacquline Webb | Counselor | 1525 Fullilove Dr, Bossier City, LA 71112-3346 | 2020-03-03 |
| 1205476074 | Victoria Porter | Counselor | 1525 Fullilove Dr, Bossier City, LA 71112-3346 | 2020-01-09 |
| 1255800041 | Eric Scott Burt | Counselor | 1525 Fullilove Dr, Bossier City, LA 71112-3346 | 2018-11-21 |
| 1356810147 | Amanda Curry | Counselor | 1525 Fullilove Dr, Bossier City, LA 71112-3346 | 2018-11-21 |
| Find all providers in BOSSIER CITY | ||||
| City | BOSSIER CITY |
| Zip Code | 71112 |
Please comment or provide details below to improve the information on JEFF LEACH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.