Provider Demographics
NPI:1568507010
Name:MARKHAM, LEIGH (LSW)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:
Last Name:MARKHAM
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:LEIGH
Other - Middle Name:
Other - Last Name:DUNBAR-MARKHAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LSW
Mailing Address - Street 1:27 MOORELAND RD
Mailing Address - Street 2:
Mailing Address - City:BELPRE
Mailing Address - State:OH
Mailing Address - Zip Code:45714-8008
Mailing Address - Country:US
Mailing Address - Phone:740-707-2080
Mailing Address - Fax:740-707-2080
Practice Address - Street 1:2540 BILLINGSLEY RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-1990
Practice Address - Country:US
Practice Address - Phone:614-470-2018
Practice Address - Fax:614-489-6200
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.0032127104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker