| Discovering Authentic Living, Llc | |
|
6317 S Bend Ln Charlotte NC 28277-4659 | |
| (704) 814-9850 | |
| (704) 523-6050 |
| Full Name | Discovering Authentic Living, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6317 S Bend Ln, Charlotte, North Carolina |
| Authorized Official Name and Position | Deborah A Leighton (THERAPIST/MEMBER-MANAGED LLC) |
| Authorized Official Contact | 7048149850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Discovering Authentic Living, Llc 6317 S Bend Ln Charlotte NC 28277-4659 Ph: (704) 814-9850 | Discovering Authentic Living, Llc 6317 S Bend Ln Charlotte NC 28277-4659 Ph: (704) 814-9850 |
| NPI Number | 1447540158 |
|---|---|
| Provider Enumeration Date | 04/14/2011 |
| Last Update Date | 04/22/2011 |
| Medicare PECOS PAC ID | 2769651074 |
|---|---|
| Medicare Enrollment ID | O20110803000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447540158 | NPI | - | NPPES |
| 12169428 | Other | NC | CAQH |
| PTAN 2853487 | Other | NC | MEDICARE PROVIDER |
| 6003191 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Deborah A Leighton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427185909 PECOS PAC ID: 7315081817 Enrollment ID: I20100222000742 |
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