Healthcare Provider Details

I. General information

NPI: 1811780570
Provider Name (Legal Business Name): LEAH ELONA PLIEGO-PADILLA LCMHC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. LEAH ELONA PLIEGO

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5620 NC HIGHWAY 55 W
COVE CITY NC
28523-9434
US

IV. Provider business mailing address

5620 NC HIGHWAY 55 W
COVE CITY NC
28523-9434
US

V. Phone/Fax

Practice location:
  • Phone: 864-787-5393
  • Fax:
Mailing address:
  • Phone: 864-787-5393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA20863
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: