Provider Demographics
NPI:1720731946
Name:DENMAN, LEAH RUTH (LPC)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:RUTH
Last Name:DENMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 CHARING CROSS RD
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-2323
Mailing Address - Country:US
Mailing Address - Phone:803-206-7558
Mailing Address - Fax:
Practice Address - Street 1:6407 SIMPSON ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-2916
Practice Address - Country:US
Practice Address - Phone:803-638-3535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-28
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9350101YM0800X
SC7882101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health