Provider Demographics
NPI:1649159153
Name:LEONARD, NATAUSHA CHANEL
Entity type:Individual
Prefix:
First Name:NATAUSHA
Middle Name:CHANEL
Last Name:LEONARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26851 PRATT RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-2277
Mailing Address - Country:US
Mailing Address - Phone:410-845-8236
Mailing Address - Fax:
Practice Address - Street 1:26851 PRATT RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-2277
Practice Address - Country:US
Practice Address - Phone:410-845-8236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
18382101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral