Provider Demographics
NPI:1073084711
Name:POUNDS, LEAH ARLENE (LPC-IT, SAC-IT)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:ARLENE
Last Name:POUNDS
Suffix:
Gender:F
Credentials:LPC-IT, SAC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 N MAYFAIR RD STE 120
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-2262
Mailing Address - Country:US
Mailing Address - Phone:414-939-9390
Mailing Address - Fax:
Practice Address - Street 1:2222 N MAYFAIR RD STE 120
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-2262
Practice Address - Country:US
Practice Address - Phone:414-939-9390
Practice Address - Fax:414-939-9383
Is Sole Proprietor?:No
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI18695-130101YA0400X
WI4121-226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)