Provider Demographics
NPI:1922486018
Name:LEANNE SEGUIN, LLC
Entity type:Organization
Organization Name:LEANNE SEGUIN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:LEANNE
Authorized Official - Last Name:SEGUIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-657-0094
Mailing Address - Street 1:19347 US HIGHWAY 19 N APT 112
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-3305
Mailing Address - Country:US
Mailing Address - Phone:970-657-0094
Mailing Address - Fax:
Practice Address - Street 1:19347 US HIGHWAY 19 N APT 112
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-3305
Practice Address - Country:US
Practice Address - Phone:970-657-0094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY 0003966251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health