Provider Demographics
NPI:1134178049
Name:RAINWATER, LEIGH GRIFFIN (MED, LPC)
Entity type:Individual
Prefix:MS
First Name:LEIGH
Middle Name:GRIFFIN
Last Name:RAINWATER
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5008 MARTIN AVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-2639
Mailing Address - Country:US
Mailing Address - Phone:512-413-7445
Mailing Address - Fax:
Practice Address - Street 1:5902 LAIRD DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-3231
Practice Address - Country:US
Practice Address - Phone:512-413-7445
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17589101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional