# DR. TAKESHA LEONARD, NURSE PRACTITIONER IN PSYCHIATRY, PLLC

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

## Provider details

- **NPI number:** 1427890755
- **Authorized official:** DR. TAKESHA L LEONARD PMHNP (CEO)
- **Authorized official phone:** (716) 260-9320

## Contact information

- **Practice address:** 2495 MAIN ST STE 466, BUFFALO, NY 14214-2135
- **Practice address phone:** (716) 260-9320
- **Mailing address:** 2495 MAIN ST STE 466, BUFFALO, NY 14214-2135
- **Mailing address phone:** (716) 260-9320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/07/2024
- **Last updated:** 07/24/2024