Provider Demographics
NPI:1679685762
Name:ANNE T. LEEDY
Entity Type:Organization
Organization Name:ANNE T. LEEDY
Other - Org Name:LEEDY COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:T
Authorized Official - Last Name:LEEDY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:717-241-2345
Mailing Address - Street 1:3201 SPRING RD
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-8741
Mailing Address - Country:US
Mailing Address - Phone:717-241-2345
Mailing Address - Fax:717-245-9099
Practice Address - Street 1:3201 SPRING RD
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-8741
Practice Address - Country:US
Practice Address - Phone:717-241-2345
Practice Address - Fax:717-245-9099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2007-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000254101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty