Provider Demographics
NPI:1801303094
Name:CALDWELL, MARY LEIGH (LCMHC)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:LEIGH
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:
Other - Last Name:CALDWELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCMHC
Mailing Address - Street 1:70 WOODFIN PLACE
Mailing Address - Street 2:WEST WING SUITE 6C
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801
Mailing Address - Country:US
Mailing Address - Phone:828-571-0548
Mailing Address - Fax:
Practice Address - Street 1:70 WOODFIN PLACE
Practice Address - Street 2:SUITE 6C
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3812
Practice Address - Country:US
Practice Address - Phone:828-571-0548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-09
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13555101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health