MS. FANNIE M. LEFLORE (NPI# 1063464436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063464436 |
| Entity Type | Individual |
| Full Name | MS. FANNIE M. LEFLORE |
| Credential | MS, LPC,CADC-D |
| Practice Address |
6310 N Port Washington Rd Office Space Inside R.e.a.c.h. Clinic Glendale WI 53217-4300 |
| Mailing Address |
Po Box 18376 Milwaukee WI 53218-0376 |
| Practice Telephone | 4144381534 |
| Mailing Telephone | 4144381534 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2010-09-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
13220 | WI | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2250-125 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40920600 | 05 | |
| WI | CADC-D | 13220 | 01 |
| WI | LICENSED PROF COUNSELOR | 2250-125 | 01 |
| Street Address |
6310 N PORT WASHINGTON RD OFFICE SPACE INSIDE R.E.A.C.H. CLINIC |
| City | GLENDALE |
| State | WI |
| Zip Code | 53217-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770834467 | Interdenominational Church of Christian Love, Inc | Home Health | 6310 N Port Washington Rd, Glendale, WI 53217-4300 | 2012-09-21 |
| 1023337706 | Frances B Pitt | Counselor | 6310 N Port Washington Rd, Glendale, WI 53217-4300 | 2010-05-20 |
| 1386975100 | Gretchen J. Gill | Counselor | 6310 N Port Washington Rd, Glendale, WI 53217-4300 | 2010-01-18 |
| 1578891107 | Candice Lynn Lipski | Counselor | 6310 N Port Washington Rd, Glendale, WI 53217-4300 | 2009-11-19 |
| 1144555152 | R.e.a.c.h. Inc. Comprehensive Mental Health Clinic | Community/Behavioral Health | 6310 N Port Washington Rd, Glendale, WI 53217-4300 | 2009-10-08 |
| 1740373430 | Kurth Chiropractic, Sc | Chiropractor | 6310 N Port Washington Rd, Glendale, WI 53217-4300 | 2006-10-02 |
| 1154414829 | Brian Kurth | Chiropractor | 6310 N Port Washington Rd, Glendale, WI 53217-4300 | 2006-10-02 |
| 1225139884 | Khyana K Pumphrey | Counselor | 6310 N Port Washington Rd, Glendale, WI 53217-4300 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537709 | Kendra Nicole Rosenfeld | Counselor | 10218 N 60th Ln, Glendale, AZ 85302-1256 | 2020-10-26 |
| 1609483825 | Wisemind Sober Living and Treatment, LLC | Counselor | 5755 W Irma Ln, Glendale, AZ 85308-9178 | 2020-09-30 |
| 1740814664 | Maryjoy C Kearns | Counselor | 7400 W Arrowhead Clubhouse Dr Apt 2036, Glendale, AZ 85308-8825 | 2020-02-29 |
| 1366089997 | Lilit Ginosyan Hayrapetyan | Counselor | 401 N Brand Blvd Ste 366, Glendale, CA 91203-4427 | 2019-12-02 |
| 1104473552 | Sabrina Laporta | Counselor | 7037 65th Pl Apt 1r, Glendale, NY 11385-6426 | 2019-08-21 |
| 1760042667 | Arineh Ohanian | Counselor | 1022 Elm Ave, Glendale, CA 91201-3424 | 2019-06-13 |
| 1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
| 1093275018 | Heather Marie Ford | Counselor | 7303 W Robin Ln, Glendale, AZ 85310-5653 | 2019-03-25 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1992209431 | Jessica Ann Van Leer | Counselor | 17505 N 79th Ave Ste 410, Glendale, AZ 85308-8732 | 2018-03-20 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.