Provider Demographics
NPI:1124630322
Name:VANWINKLE, LEAH (LPCC, LMHC)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:VANWINKLE
Suffix:
Gender:F
Credentials:LPCC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:KY
Mailing Address - Zip Code:42420-3132
Mailing Address - Country:US
Mailing Address - Phone:270-826-8761
Mailing Address - Fax:
Practice Address - Street 1:1982 N STATE ROAD 65
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:IN
Practice Address - Zip Code:47670-8503
Practice Address - Country:US
Practice Address - Phone:812-506-9699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-19
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY264660101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty