Provider Demographics
NPI:1235215682
Name:CRUMLEY, LEANNE (LMHC)
Entity Type:Individual
Prefix:
First Name:LEANNE
Middle Name:
Last Name:CRUMLEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:LEANNE
Other - Middle Name:
Other - Last Name:PAYNTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:200 AVENUE F NE
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881
Mailing Address - Country:US
Mailing Address - Phone:863-293-1121
Mailing Address - Fax:863-291-6084
Practice Address - Street 1:1558 LAKEVIEW DRIVE
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870
Practice Address - Country:US
Practice Address - Phone:863-385-5179
Practice Address - Fax:863-291-6084
Is Sole Proprietor?:No
Enumeration Date:2006-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8823101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health