Provider Demographics
NPI:1265575633
Name:MERRIHEW, LEIGH (MAAT LPC)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:
Last Name:MERRIHEW
Suffix:
Gender:F
Credentials:MAAT LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1532 CASTILLO ST APT A
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-8509
Mailing Address - Country:US
Mailing Address - Phone:203-206-4641
Mailing Address - Fax:
Practice Address - Street 1:1532 CASTILLO ST APT A
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-8509
Practice Address - Country:US
Practice Address - Phone:203-206-2641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000566101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional