Provider Demographics
NPI:1811461882
Name:LEONARD, BRITTANY (LMHC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:LEONARD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:M
Other - Last Name:STOUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:250 N SHADELAND AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2325 INTELLIPLEX DR STE 207
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:IN
Practice Address - Zip Code:46176-8546
Practice Address - Country:US
Practice Address - Phone:317-392-2971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-14
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39003447A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health