| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LEEANN RAYNOR | 1891431292 | 2024-06-09 |
Leeann Raynor is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1891431292. Registration indicates Leeann Raynor is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor, Behavioral Health & Social Service Providers) (Other Service Providers, Case Manager/Care Coordinator) (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers) Access to Substance Use Disorder Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Addiction (Substance Use Disorder),, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Addiction Substance Use Disorder, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Leeann Raynor CDCA |
| Practice Office Address | 11821 STATE ROUTE 160 VINTON, OH US |
| Practice Office Telephone | 7402453051 |
| Practice Office Fax | 7402453052 |
| Mailing Address | 11821 STATE ROUTE 160 VINTON, OH 456869009 US |
| Business Telephone | 7408532788 |
| Business Fax | 7402453052 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 53 Spruce St | Gallipolis, OH 456311222 | 7402085168 |
| Code | Practice | License No State |
|---|---|---|
| 101Y00000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor Behavioral Health/Substance Abuse/Psychiatry Counselor Behavioral Health & Social Service Providers | |
| 171M00000X | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers | |
| 101YA0400X PRIMARY | Access to Substance Use Disorder Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Addiction (Substance Use Disorder), Behavioral Health/Substance Abuse/Psychiatry Counselor Addiction Substance Use Disorder Behavioral Health & Social Service Providers Counselor | |
| 193200000X MULT | Group Code | |
| 193200000X MULT | Group Code |