CRYSTAL ODESSA LEONARD (NPI# 1861009516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861009516 |
| Entity Type | Individual |
| Full Name | CRYSTAL ODESSA LEONARD |
| Practice Address |
183 Seabreeze Ct Newnan GA 30265-5572 |
| Practice Telephone | 3178478836 |
| Mailing Telephone | 3178478836 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TE1100X |
Psychologist Specialization: Exercise & Sports |
GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | N/A | 261QS100X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932744877 | Crystal Leonard | Behavioral Analyst | 10604 N Trademark Pkwy Ste 310, Rancho Cucamonga, CA 91730-5938 | 2019-11-14 |
| 1265908446 | Crystal Olivia Leonard | Nurse Practitioner | 6190 Georgetown Blvd, Eldersburg, MD 21784-6460 | 2018-10-16 |
| Street Address |
183 SEABREEZE CT |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-5572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354526 | Better Days Recreation Therapy | Physical Medicine & Rehabilitation | 183 Seabreeze Ct, Newnan, GA 30265-5572 | 2020-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 103TE1100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Exercise & Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417374141 | Gunter Psychological Services, LLC | Psychologist | 3205 Wellington Walk Sw, Atlanta, GA 30331-5452 | 2014-03-19 |
| 1679692412 | Wendy Osborne | Psychologist | 2770 Lenox Road, Atlanta, GA 30324 | 2007-03-29 |
| 1851691893 | Larry Lockhart Jr. | Psychologist | 2511 Lantrac Ct, Decatur, GA 30035-4006 | 2010-10-25 |
| 1629378674 | Jack Jerome Barron | Psychologist | 2511 Lantrac Ct, Decatur, GA 30035-4006 | 2010-10-25 |
| 1558544163 | Sunita Dodani | Psychologist | 997 Saint Sebastian Way, Ec4503, Augusta, GA 30912-2613 | 2007-12-06 |
Please comment or provide details below to improve the information on CRYSTAL ODESSA LEONARD.
| 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.