Provider Demographics
NPI:1043607724
Name:LEIGH, HEATHER (LMFT)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:
Last Name:LEIGH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2017 WESTBRIAR DR
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-5134
Mailing Address - Country:US
Mailing Address - Phone:215-850-5294
Mailing Address - Fax:
Practice Address - Street 1:8295 TOURNAMENT DR STE 201
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-8913
Practice Address - Country:US
Practice Address - Phone:901-560-9624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-21
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF61237046106H00000X
TNLMT0000001282106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist