Healthcare Provider Details

I. General information

NPI: 1992846273
Provider Name (Legal Business Name): LEANNE G. KNOP LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LEANNE KNOP LEMONS LMFT

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

431 PEBBLE SHORE DR
SNEADS FERRY NC
28460-0048
US

IV. Provider business mailing address

431 PEBBLE SHORE DR
SNEADS FERRY NC
28460-0048
US

V. Phone/Fax

Practice location:
  • Phone: 303-552-7636
  • Fax:
Mailing address:
  • Phone: 303-552-7636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT41106
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: