Provider Demographics
NPI:1699121988
Name:SELLS, LEIGH (MA, PLPC)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:
Last Name:SELLS
Suffix:
Gender:F
Credentials:MA, PLPC
Other - Prefix:
Other - First Name:LEIGH
Other - Middle Name:
Other - Last Name:SANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 BARRETT DR
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MO
Mailing Address - Zip Code:63863-1204
Mailing Address - Country:US
Mailing Address - Phone:573-276-3843
Mailing Address - Fax:
Practice Address - Street 1:500 BARRETT DR
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MO
Practice Address - Zip Code:63863-1204
Practice Address - Country:US
Practice Address - Phone:573-276-3843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-05
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor