Provider Demographics
NPI:1831414994
Name:MECKLEY, LEANN ELIZABETH (MA, LCMHC-S)
Entity type:Individual
Prefix:
First Name:LEANN
Middle Name:ELIZABETH
Last Name:MECKLEY
Suffix:
Gender:F
Credentials:MA, LCMHC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4311 BARBARY ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-5602
Mailing Address - Country:US
Mailing Address - Phone:919-246-5472
Mailing Address - Fax:
Practice Address - Street 1:4311 BARBARY ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-5602
Practice Address - Country:US
Practice Address - Phone:919-246-5472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7802101YM0800X, 101YP2500X
NCS7802101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional