Provider Demographics
NPI:1356796361
Name:ATWOOD, LEANNE (M ED, LMHC)
Entity type:Individual
Prefix:
First Name:LEANNE
Middle Name:
Last Name:ATWOOD
Suffix:
Gender:F
Credentials:M ED, LMHC
Other - Prefix:
Other - First Name:LEANNE
Other - Middle Name:
Other - Last Name:COADY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:M ED
Mailing Address - Street 1:44 YEARLING RUN RD
Mailing Address - Street 2:
Mailing Address - City:BUZZARDS BAY
Mailing Address - State:MA
Mailing Address - Zip Code:02532-2258
Mailing Address - Country:US
Mailing Address - Phone:508-451-3927
Mailing Address - Fax:
Practice Address - Street 1:13 RODMAN STREET
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-0274
Practice Address - Country:US
Practice Address - Phone:774-247-0246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-27
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA486999101YS0200X
MA10900101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool