Healthcare Provider Details

I. General information

NPI: 1659281194
Provider Name (Legal Business Name): LEAH PERRY M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

296 W RIDGE PIKE STE 202
LIMERICK PA
19468-1790
US

IV. Provider business mailing address

1740 OAKWOOD TER APT 14F
PENN VALLEY PA
19072-1047
US

V. Phone/Fax

Practice location:
  • Phone: 484-369-7705
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: