Provider Demographics
NPI:1225752058
Name:MYERS, LEIGHA DREW (RBT)
Entity Type:Individual
Prefix:
First Name:LEIGHA
Middle Name:DREW
Last Name:MYERS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:LEIGHA
Other - Middle Name:DREW
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RBT
Mailing Address - Street 1:111 MACKENAN DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-7903
Mailing Address - Country:US
Mailing Address - Phone:919-371-2848
Mailing Address - Fax:
Practice Address - Street 1:3333 BROOKVIEW HILLS BLVD STE 205
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-5661
Practice Address - Country:US
Practice Address - Phone:336-261-6440
Practice Address - Fax:336-232-1436
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty