Ondiek, Leah
Ondiek, Leah is an individual health care provider with primary practice located at 404 E Broad St Ste 600 , Mansfield TX 76063-1743. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ondiek, Leah can be contacted via phone (682) 414-2628.Contact Information
Primary practice address
404 E Broad St Ste 600
Mansfield TX 76063-1743
Phone: (682) 414-2628
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 71542 | Texas |
Profile Details
| NPI number | 1568707669 |
|---|---|
| LBN Legal business name | Ondiek, Leah |
| Credentials | LPC-S |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2012 |
| Last updated | May 10th, 2021 - about 5 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568707669 | NPPES |
| Texas | MEDICAID | 348659903 |
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