Provider Demographics
NPI:1457524951
Name:PIERSOL, LEAH CATHERINE (JD, MS, LPC-MH, QMHP)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:CATHERINE
Last Name:PIERSOL
Suffix:
Gender:F
Credentials:JD, MS, LPC-MH, QMHP
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:CATHERINE
Other - Last Name:PIERSOL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:JD, MS, LPC-MH, QMHP
Mailing Address - Street 1:4105 S CARNEGIE PL STE 101
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57106-2360
Mailing Address - Country:US
Mailing Address - Phone:605-212-3638
Mailing Address - Fax:
Practice Address - Street 1:4105 S CARNEGIE PL STE 101
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-2360
Practice Address - Country:US
Practice Address - Phone:605-212-3638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-07
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC-MH 2188101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD6576850Medicaid