MS. LEAH KATHERINE BOOTH BSW
NPI 1790982403
Counselor - Mental Health in Jackson, TN
Active since June 27, 2007
About Ms. Leah Katherine Booth Bsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. LEAH KATHERINE BOOTH BSW (NPI 1790982403) is an individual mental health provider in Jackson, Tennessee and active in the NPI registry since June 2007.
NPPES Registry Identity
NPI1790982403
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. LEAH KATHERINE BOOTHCredential: BSW
Location Address24 WEATHERFORD SQJackson, TN 38305-2202
Mailing Address24 Revere Cir, Apt. #14Jackson, TN 38305-5407 · (731) 394-9966
Phone(731) 660-6760
Sole ProprietorYes
Enumeration DateJune 27, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790982403 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
24 WEATHERFORD SQ, Jackson, TN 38305
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790982403, enumerated as an "individual" on June 27, 2007.
The provider is located at 24 WEATHERFORD SQ JACKSON, TN 38305 and the phone number is (731) 660-6760.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
