Provider Demographics
NPI:1891015186
Name:BARISON, LEAH KRAUSS (LMHC, LADC-I)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:KRAUSS
Last Name:BARISON
Suffix:
Gender:F
Credentials:LMHC, LADC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:268 NEWBURY ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-2424
Mailing Address - Country:US
Mailing Address - Phone:617-383-7220
Mailing Address - Fax:
Practice Address - Street 1:268 NEWBURY ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-2424
Practice Address - Country:US
Practice Address - Phone:617-383-7220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-09
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8510101YM0800X
MA12300101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)