Healthcare Provider Details

I. General information

NPI: 1134083231
Provider Name (Legal Business Name): LEIGHA E HARRIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2704 FAIR AVE
NEWBERRY SC
29108
US

IV. Provider business mailing address

701 GREENGATE CIR
AIKEN SC
29803-7473
US

V. Phone/Fax

Practice location:
  • Phone: 562-405-2198
  • Fax:
Mailing address:
  • Phone: 562-405-2198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: