Provider Demographics
NPI:1912328923
Name:LEACH, SHEILA (PMHNP)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:LEACH
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:
Other - Last Name:BARTELME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:113 PLEASANT VALLEY DR STE 210
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-5683
Mailing Address - Country:US
Mailing Address - Phone:830-267-4575
Mailing Address - Fax:830-267-4575
Practice Address - Street 1:17 OLD SAN ANTONIO RD
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-3414
Practice Address - Country:US
Practice Address - Phone:830-214-7714
Practice Address - Fax:830-214-7714
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-17
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1040338363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health