MEDICARE: NEW LEAF BEHAVIORAL HEALTH

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	1041C0700X	Clinical Social Worker
3	103TC0700X	Clinical Psychologist
4	251V00000X	Voluntary or Charitable Agency
5	106H00000X	Marriage & Family Therapist
6	104100000X	Social Worker
7	101YM0800X	Mental Health Counselor
8	101YP2500X	Professional Counselor
9	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1508042003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW LEAF BEHAVIORAL HEALTH

Provider Business Mailing Address
First Line	:	3725 NATIONAL DR STE 220
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27612-4879
Country	:	US
Telephone Number	:	919-781-8370
Fax Number	:	919-781-2266

Provider Business Practice Location Address
First Line	:	3725 NATIONAL DR
Second Line	:	SUITE 220
City	:	RALEIGH
State	:	NC
Zip	:	27612-4066
Country	:	US
Telephone Number	:	919-781-8370
Fax Number	:	919-781-2266

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. DAVA MUSERALLO
Credential	:
Telephone Number	:	919-781-8370

Provider Enumeration Date	:	01/14/2008
Last Update Date	:	04/22/2026

Similar Medicare Providers

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Practice Location Address:

3725 NATIONAL DR , SUITE 228
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1578539722 — MRS. KIMBERLY EASTMAN WILLIAMS LCSW
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1659324895 — MS. SHERRY LYNN HOROWITZ LCSW
Practice Location Address:

3725 NATIONAL DR
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27612-4066

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Practice Fax:

1861433591 — MS. GRETA ANN ZUCK M.S.
Practice Location Address:

3725 NATIONAL DR , 114
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27612-4066

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1609819309 — MS. MARY AGNES CROMER LCSW
Practice Location Address:

3725 NATIONAL DR , SUITE 220
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27612-4066

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1063457802 — HEATHER BAILEY RAY LCSW
Practice Location Address:

3725 NATIONAL DR , SUITE 220
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27612-4066

Practice Phone: 919-781-8370
Practice Fax: 919-781-2266

Directions to “NEW LEAF BEHAVIORAL HEALTH ” Practice Location

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