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NPI Code Detail

MEDICARE: LEAH BOZEMAN MS LCMHCA

MEDICARE:   LEAH  BOZEMAN  MS LCMHCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorA22404NC

General Provider Information

NPI Number : 1033061056
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH BOZEMAN MS LCMHCA
Provider Business Mailing Address
First Line : 7406 CHAPEL HILL RD STE J
Second Line :
City : RALEIGH
State : NC
Zip : 27607-5039
Country : US
Telephone Number : 704-860-9611
Fax Number : 919-573-0438
Provider Business Practice Location Address
First Line : 7406 CHAPEL HILL RD STE J
Second Line :
City : RALEIGH
State : NC
Zip : 27607-5039
Country : US
Telephone Number : 919-480-1946
Fax Number : 919-573-0438
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “ LEAH BOZEMAN MS LCMHCA” Practice Location

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