Healthcare Provider Details

I. General information

NPI: 1790612596
Provider Name (Legal Business Name): MRS. LEAH PACEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 MAIN ST
BRYSON CITY NC
28713-1370
US

IV. Provider business mailing address

3221 CONLEYS CREEK RD
WHITTIER NC
28789-9215
US

V. Phone/Fax

Practice location:
  • Phone: 828-488-0939
  • Fax:
Mailing address:
  • Phone: 352-317-2101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP020519
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: