Healthcare Provider Details

I. General information

NPI: 1578765020
Provider Name (Legal Business Name): LEAH SHARON LEVENSON PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 HARPERTOWN RD
ELKINS WV
26241-9657
US

IV. Provider business mailing address

9805 STATESVILLE RD STE 6150
CHARLOTTE NC
28269-7647
US

V. Phone/Fax

Practice location:
  • Phone: 228-265-5144
  • Fax: 228-233-3693
Mailing address:
  • Phone: 228-265-5144
  • Fax: 228-233-3693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number47-813
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: