Healthcare Provider Details

I. General information

NPI: 1073307930
Provider Name (Legal Business Name): VIRGINIA ANN LEAHY LPMT, MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

657 E GOLF RD STE 301
ARLINGTON HEIGHTS IL
60005-4071
US

IV. Provider business mailing address

657 E GOLF RD STE 301
ARLINGTON HEIGHTS IL
60005-4071
US

V. Phone/Fax

Practice location:
  • Phone: 847-580-3443
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number144.000168
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: