Provider Demographics
NPI:1841522844
Name:REED, LEASHA DAWN (BA, LPCC)
Entity type:Individual
Prefix:MRS
First Name:LEASHA
Middle Name:DAWN
Last Name:REED
Suffix:
Gender:F
Credentials:BA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:934 S LAUREL RD
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40744-8303
Mailing Address - Country:US
Mailing Address - Phone:606-657-2030
Mailing Address - Fax:
Practice Address - Street 1:934 S LAUREL RD
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40744-8303
Practice Address - Country:US
Practice Address - Phone:606-657-2030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-02
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY163171101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100335250Medicaid