Provider Demographics
NPI:1689875874
Name:LEAH M. MCCARTT M.D.
Entity Type:Organization
Organization Name:LEAH M. MCCARTT M.D.
Other - Org Name:LEXINGTON COUNTY MENTAL HEALTH CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:SHAW
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-996-1551
Mailing Address - Street 1:7079 GLENGARRY DR
Mailing Address - Street 2:LEXINGTON COUNTY MENTAL HEALTH CENTERS
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29209-3064
Mailing Address - Country:US
Mailing Address - Phone:803-783-8089
Mailing Address - Fax:
Practice Address - Street 1:305 PALMETTO PARK BLVD
Practice Address - Street 2:LEXINGTON COUNTY MENTAL HEALTH CENTERS
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-7872
Practice Address - Country:US
Practice Address - Phone:803-996-1551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC19469251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare