Provider Demographics
NPI:1962683466
Name:LEA & ASSOCIATES
Entity Type:Organization
Organization Name:LEA & ASSOCIATES
Other - Org Name:NONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:MURDOCK
Authorized Official - Last Name:LEA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LMFT,LSATP
Authorized Official - Phone:804-864-2660
Mailing Address - Street 1:9947 HULL STREET RD
Mailing Address - Street 2:PMB 151
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23236-1412
Mailing Address - Country:US
Mailing Address - Phone:804-864-2660
Mailing Address - Fax:804-864-2661
Practice Address - Street 1:306 TURNER RD
Practice Address - Street 2:SUITE A
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-6432
Practice Address - Country:US
Practice Address - Phone:804-864-2660
Practice Address - Fax:804-864-2661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0718000042101YA0400X
VA0701002283101YM0800X
VA0717000407106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty