Provider Demographics
NPI:1659844652
Name:WINSLOW, LEANNA M (LPCP, NCC)
Entity Type:Individual
Prefix:
First Name:LEANNA
Middle Name:M
Last Name:WINSLOW
Suffix:
Gender:F
Credentials:LPCP, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3023 WHISKEY ROW
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-9149
Mailing Address - Country:US
Mailing Address - Phone:406-465-0255
Mailing Address - Fax:
Practice Address - Street 1:3023 WHISKEY ROW
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-9149
Practice Address - Country:US
Practice Address - Phone:406-465-0255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-02
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-32024101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health