Provider Demographics
NPI:1548765142
Name:LINN, LEAH MARIE (MA)
Entity Type:Individual
Prefix:MS
First Name:LEAH
Middle Name:MARIE
Last Name:LINN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:LEA
Other - Middle Name:MARIE
Other - Last Name:VOIGT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:926 E COURTLAND PL
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH BAY
Mailing Address - State:WI
Mailing Address - Zip Code:53211
Mailing Address - Country:US
Mailing Address - Phone:615-972-0708
Mailing Address - Fax:
Practice Address - Street 1:211 DAWN STREET
Practice Address - Street 2:
Practice Address - City:SIGNAL MOUNTAIN
Practice Address - State:TN
Practice Address - Zip Code:37377
Practice Address - Country:US
Practice Address - Phone:615-592-5036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-26
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4762101YM0800X
101YM0800X
WI8664-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health