Provider Demographics
NPI:1912680026
Name:MCLEOD, IESHEA
Entity Type:Individual
Prefix:
First Name:IESHEA
Middle Name:
Last Name:MCLEOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 N MCDOWELL ST UNIT 30661
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28230-0059
Mailing Address - Country:US
Mailing Address - Phone:813-699-9057
Mailing Address - Fax:
Practice Address - Street 1:3015 TIMBER HOLLOW DR APT 212
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-6690
Practice Address - Country:US
Practice Address - Phone:813-699-9057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach