MEDICARE: LAURA LEE BUCHHEIT LPC

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
1	101YP2500X	Professional Counselor	2026008232	MO

General Provider Information

NPI Number	:	1417882341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA LEE BUCHHEIT LPC

Provider Business Mailing Address
First Line	:	306 DOWLING DR
Second Line	:
City	:	PERRYVILLE
State	:	MO
Zip	:	63775-2779
Country	:	US
Telephone Number	:	573-768-0006
Fax Number	:

Provider Business Practice Location Address
First Line	:	113 W MAIN ST
Second Line	:
City	:	JACKSON
State	:	MO
Zip	:	63755-1979
Country	:	US
Telephone Number	:	573-846-0007
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2026
Last Update Date	:	06/13/2026

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