Provider Demographics
NPI:1134880149
Name:KIRKLAND, LEIGH (LPC)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:
Last Name:KIRKLAND
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:HINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31313-2727
Mailing Address - Country:US
Mailing Address - Phone:912-368-0272
Mailing Address - Fax:
Practice Address - Street 1:101 E MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-2727
Practice Address - Country:US
Practice Address - Phone:912-368-0272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-03
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC012481101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health