Provider Demographics
NPI:1982141024
Name:LEANNE LEWIS WARE, PH.D., LLC
Entity Type:Organization
Organization Name:LEANNE LEWIS WARE, PH.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LEANNE
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:WARE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:913-908-3306
Mailing Address - Street 1:15721 W 138TH TER
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-4547
Mailing Address - Country:US
Mailing Address - Phone:913-908-3306
Mailing Address - Fax:
Practice Address - Street 1:1715 E CEDAR ST
Practice Address - Street 2:SUITE 112
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1891
Practice Address - Country:US
Practice Address - Phone:913-908-3306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-27
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS844103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty