Provider Demographics
NPI:1588841209
Name:MINTER, LEAH ANN (MS)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:ANN
Last Name:MINTER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 VICKIE LN
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:AL
Mailing Address - Zip Code:36203-3735
Mailing Address - Country:US
Mailing Address - Phone:256-343-9094
Mailing Address - Fax:
Practice Address - Street 1:31 VICKIE LN
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:AL
Practice Address - Zip Code:36203-3735
Practice Address - Country:US
Practice Address - Phone:256-343-9094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health