Provider Demographics
NPI:1669265773
Name:RHOADS, LEAH
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:RHOADS
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 1:4670 COUNTY ROAD 2630
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:MO
Mailing Address - Zip Code:65789-8113
Mailing Address - Country:US
Mailing Address - Phone:417-274-0469
Mailing Address - Fax:417-530-1442
Practice Address - Street 1:412 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:WEST PLAINS
Practice Address - State:MO
Practice Address - Zip Code:65775-3432
Practice Address - Country:US
Practice Address - Phone:417-274-0469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician