Provider Demographics
NPI:1740051291
Name:GODSEY, LEON MATTHEW (BS, MS)
Entity type:Individual
Prefix:
First Name:LEON
Middle Name:MATTHEW
Last Name:GODSEY
Suffix:
Gender:M
Credentials:BS, MS
Other - Prefix:
Other - First Name:JOHN
Other - Middle Name:PAUL
Other - Last Name:BECHTEL
Other - Suffix:III
Other - Last Name Type:Former Name
Other - Credentials:BS, MS
Mailing Address - Street 1:2380 COURT PL UNIT 305
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-5181
Mailing Address - Country:US
Mailing Address - Phone:720-822-7978
Mailing Address - Fax:
Practice Address - Street 1:899 N LOGAN ST STE 311
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3155
Practice Address - Country:US
Practice Address - Phone:720-551-8382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health