Logan, Leah Marie

Logan, Leah Marie is an sole proprietor health care provider with primary practice located at 1105 Sw 30Th Ct , Moore OK 73160-2887. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Logan, Leah Marie can be contacted via phone (405) 676-5114.

Contact Information

Primary practice address
1105 Sw 30Th Ct Moore OK 73160-2887
Phone: (405) 676-5114
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 06633 Oklahoma
Behavioral Health & Social Service Providers / Professional 101YP2500X 06633 Oklahoma

Profile Details

NPI number 1518393693
LBN Legal business name Logan, Leah Marie
Credentials MS, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2013
Last updated Apr 9th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518393693 NPPES
Oklahoma Other 0421590335 HPSO

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