Provider Demographics
NPI:1235585621
Name:COADY, LEAH (PLPC)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:COADY
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:
Other - Last Name:BISKUP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2081 COLLIER CORPORATE PKWY
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-6701
Mailing Address - Country:US
Mailing Address - Phone:636-255-0002
Mailing Address - Fax:636-634-4777
Practice Address - Street 1:2081 COLLIER CORPORATE PKWY
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-6701
Practice Address - Country:US
Practice Address - Phone:636-255-0002
Practice Address - Fax:636-634-4777
Is Sole Proprietor?:No
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016013410101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional