Provider Demographics
NPI:1730492067
Name:LECKIE, RACHELLE
Entity Type:Individual
Prefix:MISS
First Name:RACHELLE
Middle Name:
Last Name:LECKIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4419 DOLWICK DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-6529
Mailing Address - Country:US
Mailing Address - Phone:502-689-4957
Mailing Address - Fax:
Practice Address - Street 1:105 E CENTER ST
Practice Address - Street 2:SUITE B9
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-2420
Practice Address - Country:US
Practice Address - Phone:919-666-6559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-15
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor