MEDICARE: LOURDES ALIE THOMAS-LEAHY

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	106H00000X	Marriage & Family Therapist	001754-01	NY

General Provider Information

NPI Number	:	1770174120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOURDES ALIE THOMAS-LEAHY

Provider Business Mailing Address
First Line	:	4018 ROUTE 209
Second Line	:
City	:	STONE RIDGE
State	:	NY
Zip	:	12484-5605
Country	:	US
Telephone Number	:	561-601-2108
Fax Number	:

Provider Business Practice Location Address
First Line	:	404 ZENA RD STE 2
Second Line	:
City	:	WOODSTOCK
State	:	NY
Zip	:	12498-2627
Country	:	US
Telephone Number	:	845-679-8650
Fax Number	:

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

Provider Enumeration Date	:	01/28/2021
Last Update Date	:	01/28/2021

Similar Medicare Providers

1003578782 — KELLY CARRONE LCSW
Practice Location Address:

404 ZENA RD STE 2
WOODSTOCK, NY
12498-2627

Practice Phone: 845-679-8650
Practice Fax:

1053067264 — MS. MARIA J ROJAS TENORIO MHC-LP
Practice Location Address:

404 ZENA RD STE 2
WOODSTOCK, NY
12498-2627

Practice Phone: 845-679-8650
Practice Fax:

1912680448 — ERIN PATRICIA HOGAN
Practice Location Address:

404 ZENA RD STE 1
WOODSTOCK, NY
12498-2627

Practice Phone: 845-679-5271
Practice Fax:

1619759040 — OLESYA KIM
Practice Location Address:

404 ZENA RD STE 2
WOODSTOCK, NY
12498-2627

Practice Phone: 845-679-8650
Practice Fax:

1629848452 — VERONICA VAGANOV LMSW
Practice Location Address:

404 ZENA RD STE 2
WOODSTOCK, NY
12498-2627

Practice Phone: 845-679-8650
Practice Fax:

1720829468 — MS. CAMILLE ANNE WALLACE FNP
Practice Location Address:

404 ZENA RD STE 1
WOODSTOCK, NY
12498-2627

Practice Phone: 845-679-5271
Practice Fax:

Directions to “ LOURDES ALIE THOMAS-LEAHY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.