Provider Demographics
NPI:1952601247
Name:STINNETT, LEAH R (MS, LPC, MHSP)
Entity Type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:R
Last Name:STINNETT
Suffix:
Gender:F
Credentials:MS, LPC, MHSP
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:RICHELLE
Other - Last Name:LAVIGNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LPC, MHSP
Mailing Address - Street 1:225 2ND ST NW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37311-5014
Mailing Address - Country:US
Mailing Address - Phone:423-813-9083
Mailing Address - Fax:
Practice Address - Street 1:225 2ND ST NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37311-5014
Practice Address - Country:US
Practice Address - Phone:423-813-9083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-02
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health