# LEAP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Leap Services, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538985684
- **Authorized official:** MELISSA HAYDEN (OWNER)
- **Authorized official phone:** (812) 759-8271

## Contact information

- **Practice address:** 1858 TRIPLETT ST, OWENSBORO, KY 42303-3858
- **Practice address phone:** (270) 414-0145
- **Practice address fax:** (270) 414-0146
- **Mailing address:** PO BOX 1654, EVANSVILLE, IN 47706-0055
- **Mailing address phone:** (270) 414-0145
- **Mailing address fax:** (270) 414-0146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 11/22/2024
- **Last updated:** 12/02/2024