Provider Demographics
NPI:1790433621
Name:MICHELLE LEYMAN & ASSOCIATES
Entity Type:Organization
Organization Name:MICHELLE LEYMAN & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:800-845-0336
Mailing Address - Street 1:1919 KINGS HWY FL 2
Mailing Address - Street 2:
Mailing Address - City:SWEDESBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08085-1619
Mailing Address - Country:US
Mailing Address - Phone:800-845-0336
Mailing Address - Fax:856-553-0662
Practice Address - Street 1:1919 KINGS HWY FL 2
Practice Address - Street 2:
Practice Address - City:SWEDESBORO
Practice Address - State:NJ
Practice Address - Zip Code:08085-1619
Practice Address - Country:US
Practice Address - Phone:800-845-0336
Practice Address - Fax:856-553-0662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-10
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty