MEDICARE: MS. KIMBERLY LEONARD

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1558015743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KIMBERLY LEONARD

Provider Business Mailing Address
First Line	:	19219 SKY TIMBERS LN
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-7141
Country	:	US
Telephone Number	:	713-620-8848
Fax Number	:

Provider Business Practice Location Address
First Line	:	14403 WALTERS RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77014-1336
Country	:	US
Telephone Number	:	713-620-8848
Fax Number	:

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

Provider Enumeration Date	:	02/07/2022
Last Update Date	:	02/07/2022

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Directions to “ MS. KIMBERLY LEONARD ” Practice Location

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