Provider Demographics
NPI:1891080016
Name:TRAUB, LEAH (LCMHC)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:TRAUB
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1903 N HARRISON AVENUE
Mailing Address - Street 2:SUITE 200 #1042
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-3093
Mailing Address - Country:US
Mailing Address - Phone:919-524-4156
Mailing Address - Fax:
Practice Address - Street 1:1903 N HARRISON AVE STE 200
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-3093
Practice Address - Country:US
Practice Address - Phone:919-524-4156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-15
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8770101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional