Basic Information
| Provider Information | |||||||||
| NPI: | 1952801722 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LEANNE HOWARD, LISW, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1943 W 5TH AVE | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432121902 | ||||||||
| CountryCode: | US | ||||||||
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| Address1: | 1943 W 5TH AVE | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432121902 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6143055102 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/18/2018 | ||||||||
| LastUpdateDate: | 02/20/2018 | ||||||||
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| AuthorizedOfficialLastName: | HOWARD | ||||||||
| AuthorizedOfficialFirstName: | LEANNE | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 6146643437 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | I.1700401 | OH | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.