Provider Demographics
NPI:1528425931
Name:LEDWARD, LEAH CAPRICE (MA, LMHC)
Entity type:Individual
Prefix:MS
First Name:LEAH
Middle Name:CAPRICE
Last Name:LEDWARD
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:466 LUAKAHA ST
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-7704
Mailing Address - Country:US
Mailing Address - Phone:808-389-4011
Mailing Address - Fax:808-443-0710
Practice Address - Street 1:466 LUAKAHA ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-7704
Practice Address - Country:US
Practice Address - Phone:808-389-4011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-15
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC-670101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health