Provider Demographics
NPI:1760018964
Name:LEAH F PUGH
Entity Type:Organization
Organization Name:LEAH F PUGH
Other - Org Name:DAVIDS PURPOSE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:F
Authorized Official - Last Name:PUGH
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:606-291-8743
Mailing Address - Street 1:243 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD
Mailing Address - State:KY
Mailing Address - Zip Code:40351-1691
Mailing Address - Country:US
Mailing Address - Phone:606-291-8743
Mailing Address - Fax:
Practice Address - Street 1:243 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MOREHEAD
Practice Address - State:KY
Practice Address - Zip Code:40351-1691
Practice Address - Country:US
Practice Address - Phone:606-291-8743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-19
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty