| Naomi Leedie, Llc | |
|
9263 Medical Plaza Dr Ste A North Charleston SC 29406-7112 | |
| (843) 693-6254 | |
| Not Available |
| Full Name | Naomi Leedie, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 9263 Medical Plaza Dr Ste A, North Charleston, South Carolina |
| Authorized Official Name and Position | Naomi Leedie (OWNER/THERAPIST) |
| Authorized Official Contact | 8436936254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Naomi Leedie, Llc 2 Townpark Ln Apt B Charleston SC 29412-2516 Ph: () - | Naomi Leedie, Llc 9263 Medical Plaza Dr Ste A North Charleston SC 29406-7112 Ph: (843) 693-6254 |
| NPI Number | 1801449426 |
|---|---|
| Provider Enumeration Date | 07/23/2019 |
| Last Update Date | 07/23/2019 |
| Medicare PECOS PAC ID | 0749517704 |
|---|---|
| Medicare Enrollment ID | O20190814000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801449426 | NPI | - | NPPES |
| 1174035190 | Other | SC | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Naomi A Leedie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174035190 PECOS PAC ID: 1658608617 Enrollment ID: I20190814000029 |
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