Provider Demographics
NPI:1750590162
Name:ROWE, LEISA MARIE (MS, LPC, LIMHP, LADC)
Entity type:Individual
Prefix:
First Name:LEISA
Middle Name:MARIE
Last Name:ROWE
Suffix:
Gender:F
Credentials:MS, LPC, LIMHP, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 N HOWARD AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-3529
Mailing Address - Country:US
Mailing Address - Phone:308-398-6050
Mailing Address - Fax:308-398-6051
Practice Address - Street 1:908 N HOWARD AVE STE 102
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-3529
Practice Address - Country:US
Practice Address - Phone:308-398-6050
Practice Address - Fax:308-398-6051
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1793, 1300, 873101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health