MARYANNE LEACH LCPC NPI 1780081422

NPI Information

NPI: 1780081422
Provider Name: MARYANNE LEACH, LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3860 W OGDEN AVE
CHICAGO, IL
ZIP 60623
Phone: (872) 588-3000
Get Directions

Maryanne Leach, LCPC is a professional counselor in Chicago, IL. Maryanne Leach, LCPC NPI is 1780081422. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3860 W OGDEN AVE
CHICAGO, IL
ZIP 60623-460
Phone: (872) 588-3000
Fax: (872) 588-3021

The enumeration date for this NPI number is 11/24/2014 and was last updated on 11/24/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	180-006332	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	$$$$$$$$$	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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