# CARISSA ELLIOTT AND MICHAEL LEACH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427508720
- **Authorized official:** CARISSA ELLIOTT (PARTNER)
- **Authorized official phone:** (308) 430-4273

## Contact information

- **Practice address:** 127 W 2ND ST STE 201, CHADRON, NE 69337-2883
- **Practice address phone:** (308) 430-4273
- **Mailing address:** 522 N MOREHEAD ST, CHADRON, NE 69337-2135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 3671 | NE | Yes |

## Other

- **Enumeration date:** 10/11/2016
- **Last updated:** 10/11/2016