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NPI Code Detail

MEDICARE: LEAH SILVIA

MEDICARE: LEAH SILVIA
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 Counselor
2101YM0800XMental Health CounselorA13530NC

General Provider Information

NPI Number : 1124457700
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH SILVIA
Provider Business Mailing Address
First Line : 2300 SARDIS RD N STE M
Second Line :
City : CHARLOTTE
State : NC
Zip : 28227-7712
Country : US
Telephone Number : 704-344-0491
Fax Number : 704-344-0493
Provider Business Practice Location Address
First Line : 2300 SARDIS RD N STE M
Second Line :
City : CHARLOTTE
State : NC
Zip : 28227-7712
Country : US
Telephone Number : 704-344-0491
Fax Number : 704-344-0493
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2013
Last Update Date : 11/12/2020

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Directions to “ LEAH SILVIA ” Practice Location

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