Provider Demographics
NPI:1780633479
Name:LEONHARDT, DEBBIE A (LPC)
Entity Type:Individual
Prefix:MS
First Name:DEBBIE
Middle Name:A
Last Name:LEONHARDT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 N NC HIGHWAY 16
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28681-2471
Mailing Address - Country:US
Mailing Address - Phone:828-635-8500
Mailing Address - Fax:828-635-0118
Practice Address - Street 1:153 N NC HIGHWAY 16
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28681-2471
Practice Address - Country:US
Practice Address - Phone:828-635-8500
Practice Address - Fax:828-635-0118
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC560101YP2500X
WV1776101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1059KOtherBLUECROSS BLUESHIELD
NC51157OtherUNITED BEHAVIORAL HEALTH
NC6102678Medicaid