Provider Demographics
NPI:1265096242
Name:OWENS, LEIGH MITCHELL (LPC/MHSP)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:MITCHELL
Last Name:OWENS
Suffix:
Gender:F
Credentials:LPC/MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3620 BETTY LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37931-2709
Mailing Address - Country:US
Mailing Address - Phone:865-441-1898
Mailing Address - Fax:
Practice Address - Street 1:5401 KINGSTON PIKE STE 495
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5043
Practice Address - Country:US
Practice Address - Phone:865-441-1898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-25
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3580101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health