Provider Demographics
NPI:1659120574
Name:HORRIGAN SMITH, LEAH MARIE (LPC)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:MARIE
Last Name:HORRIGAN SMITH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:MARIE
Other - Last Name:HORRIGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:210 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-4022
Mailing Address - Country:US
Mailing Address - Phone:630-338-5726
Mailing Address - Fax:
Practice Address - Street 1:760 PILOT HOUSE DR STE E
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-2068
Practice Address - Country:US
Practice Address - Phone:757-595-3455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007336101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional