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NPI Code Detail

MEDICARE: INGRID LEITCHMORE

MEDICARE: INGRID LEITCHMORE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH26395FL

General Provider Information

NPI Number : 1316681059
Entity Type Code : Individual
Provider Name (Legal Business Name) : INGRID LEITCHMORE
Provider Business Mailing Address
First Line : 1503 BILL BECK BLVD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34744-9516
Country : US
Telephone Number : 407-943-8600
Fax Number :
Provider Business Practice Location Address
First Line : 1507 BILL BECK BLVD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34744-9516
Country : US
Telephone Number : 407-943-8600
Fax Number : 833-464-3651
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2022
Last Update Date : 02/02/2026

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Directions to “ INGRID LEITCHMORE ” Practice Location

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