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LEO HAYWOOD SHEALY LMHC
NPI 1962024406
Counselor - Mental Health in Port St Joe, FL

Active since May 07, 2020
309 WILLIAMS AVE, PORT ST JOE, FL 32456(850) 896-4385 Get Directions Write a Review

NPPES record last updated: May 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leo Haywood Shealy Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEO HAYWOOD SHEALY LMHC (NPI 1962024406) is an individual mental health provider in Port St Joe, Florida, licensed in Florida (MH18043) and active in the NPI registry since May 2020. He maintains a secondary practice location in Panama City.

NPPES Registry Identity

NPI1962024406
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameLEO HAYWOOD SHEALYCredential: LMHC
Location Address309 WILLIAMS AVEPort St Joe, FL 32456-1845
Mailing Address274 Little Creek RdWewahitchka, FL 32465-6463 · (850) 896-4385
Phone(850) 896-4385
Sole ProprietorYes
Enumeration DateMay 7, 2020
NPPES CertifiedMay 7, 2020
✔ NPI 1962024406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH18043
309 WILLIAMS AVE, Port St Joe, FL 32456
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Secondary Practice Location 1

Location 1525 E 15th StPanama City, FL 32405-5412 · Phone (850) 522-4485

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leo Shealy's NPI number?

The NPI number for Leo Shealy is 1962024406. It was assigned to this individual provider in the NPPES registry on May 7, 2020.

Where is Leo Shealy located?

Leo Shealy practices at 309 Williams Ave, Port St Joe, FL 32456. The listed phone number is (850) 896-4385.

What is Leo Shealy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Leo Shealy was last updated on May 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.