Provider Demographics
NPI:1316552656
Name:ARMSTRONG, LEAH ASHLEY (MSFP)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:ASHLEY
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MSFP
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:ASHLEY
Other - Last Name:ENGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3703 MADISON PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71104-5138
Mailing Address - Country:US
Mailing Address - Phone:701-270-1240
Mailing Address - Fax:
Practice Address - Street 1:1301 YOUREE DR
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-5117
Practice Address - Country:US
Practice Address - Phone:318-675-0804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-14
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician