JESSICA WINGO LEATHERWOOD LPC
NPI 1174911275
Counselor - Professional in Cedartown, GA
- Individual
- Female
- Counselor
- Professional
About JESSICA LEATHERWOOD
This page provides the complete NPI Profile along with additional information for Jessica Leatherwood, a provider established in Cedartown, Georgia with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1174911275 assigned on December 2014. The practitioner's primary taxonomy code is 101YP2500X with license number LPC007851 (GA). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1174911275 Verify this NPI
- Provider Name
- JESSICA WINGO LEATHERWOOD LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 62 COALING RD CEDARTOWN, GA 30125
- Location Phone
- (770) 842-7172
- Mailing Address
- 62 COALING RD CEDARTOWN, GA 30125
- Mailing Phone
- (770) 842-7172
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-26-2014
- Last Update Date
- 12-26-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LPC007851
- License State
- GA
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174911275, enumerated as an "individual" on December 26, 2014.
The provider is located at 62 COALING RD CEDARTOWN, GA 30125 and the phone number is (770) 842-7172.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
