Provider Demographics
NPI:1962640375
Name:RICHARD, LEIGHYA J (LMHC)
Entity Type:Individual
Prefix:
First Name:LEIGHYA
Middle Name:J
Last Name:RICHARD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2647 NARNIA WAY UNIT 102
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-7270
Mailing Address - Country:US
Mailing Address - Phone:407-250-7831
Mailing Address - Fax:
Practice Address - Street 1:2647 NARNIA WAY UNIT 102
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-7270
Practice Address - Country:US
Practice Address - Phone:407-250-7831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-23
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11428101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional