Provider Demographics
NPI:1245789742
Name:ARTHUR, LEILA REY (M ED, NCC)
Entity Type:Individual
Prefix:
First Name:LEILA
Middle Name:REY
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:M ED, NCC
Other - Prefix:
Other - First Name:LEILA
Other - Middle Name:SHERRELL
Other - Last Name:REY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:959 COBBLE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-8317
Mailing Address - Country:US
Mailing Address - Phone:859-248-1318
Mailing Address - Fax:
Practice Address - Street 1:200 E MAIN ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-1628
Practice Address - Country:US
Practice Address - Phone:502-252-1865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-25
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
KY240575101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No251B00000XAgenciesCase Management