MEDICARE: LEIA PAYNE LPC

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
1	101YM0800X	Mental Health Counselor		GA

General Provider Information

NPI Number	:	1154254423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEIA PAYNE LPC

Provider Business Mailing Address
First Line	:	8735 DUNWOODY PL # 13210
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30350-2995
Country	:	US
Telephone Number	:	762-499-4213
Fax Number	:

Provider Business Practice Location Address
First Line	:	8735 DUNWOODY PL # 13210
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30350-2995
Country	:	US
Telephone Number	:	762-499-4213
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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Directions to “ LEIA PAYNE LPC” Practice Location

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