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General NPI Number Information
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NPI Number | 1043607724
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Entity Type | Individual
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Provider Name | HEATHER LEIGH LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/21/2015
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 8295 TOURNAMENT DR STE 201
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City | MEMPHIS
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State | TN
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Zip | 38125-8913
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Country | US
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Telephone | 901-560-9624
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Fax |
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Provider Business Mailing Address
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Address Line | 2017 WESTBRIAR DR
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City | CORDOVA
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State | TN
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Zip | 38016-5134
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Country | US
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Telephone | 215-850-5294
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF61237046
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMT0000001282
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License Number State | TN
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