Provider Demographics
NPI:1598252074
Name:BRAND, LEAH (QMHS 5)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:BRAND
Suffix:
Gender:F
Credentials:QMHS 5
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1158
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-1158
Mailing Address - Country:US
Mailing Address - Phone:740-593-3402
Mailing Address - Fax:
Practice Address - Street 1:7990 DAIRY LN
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-9391
Practice Address - Country:US
Practice Address - Phone:740-594-3402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-19
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator