Healthcare Provider Details

I. General information

NPI: 1841107331
Provider Name (Legal Business Name): AMANDA LEONARD COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 SCHUYLER AVE STE 210
KINGSTON PA
18704-3338
US

IV. Provider business mailing address

427 RUTTER AVE
KINGSTON PA
18704-4707
US

V. Phone/Fax

Practice location:
  • Phone: 781-223-8126
  • Fax:
Mailing address:
  • Phone: 781-223-8126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. AMANDA LEONARD
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential:
Phone: 781-223-8126