Individual
LEO BAYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
815 FORWARD DR., MADISON, WI 53711-2443
(608) 268-6530
(608) 709-1744
Mailing address
815 FORWARD DR., MADISON, WI 53711-2443
(608) 268-6530
(608) 709-1744
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006017
—
AK
05
—
1020986
—
AK
05
—
1584987
—
AK
Enumeration date
08/13/2020
Last updated
06/05/2022
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