Mary Jo Leimbach, MA, LPC
Individual provider Active NPI Professional Counselor · Milan, TN
NPI 1235634445 · NPPES record last updated Mar 28, 2018
Key facts
- NPI
- 1235634445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 178.013811 (IL)
- Practice address
- 42 Seavers Rd
Milan, TN 38358-6176 - Phone
- (217) 917-5764
- NPI assigned
- Mar 28, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.013811 | IL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.013811 | IL | Yes |
Addresses
Primary practice location
42 Seavers Rd
Milan, TN 38358-6176
Mailing address
42 Seavers Rd
Milan, TN 38358-6176
Phone (217) 917-5764
Other providers in Milan, TN
- Lewis B Kizer
- Stephanie Kyle
- Michael Heath Ladd
- Zachary Lankford
- Mark Thomas Lee
- Lewis B Kizer
- Beth R Long
- Krystal L Maclin
- Edwin W Martin
- Jamie Lynn Martin
All providers in Milan, TN · Professional Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.