Provider Demographics
NPI:1831661156
Name:PITRE, LEIGH CARRIER (PHD, LPC-MHSP)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:CARRIER
Last Name:PITRE
Suffix:
Gender:F
Credentials:PHD, LPC-MHSP
Other - Prefix:
Other - First Name:LEIGH
Other - Middle Name:ELLEN
Other - Last Name:CARRIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2715 LONGSHADOW LN
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-0133
Mailing Address - Country:US
Mailing Address - Phone:985-860-1890
Mailing Address - Fax:
Practice Address - Street 1:4937 WILLIAM ARNOLD RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38117-4237
Practice Address - Country:US
Practice Address - Phone:901-613-9708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-27
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4502101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional