Provider Demographics
NPI:1215676093
Name:HORTON, LEAH C (LPC)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:C
Last Name:HORTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 HEXHAM DR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-3012
Mailing Address - Country:US
Mailing Address - Phone:434-473-7458
Mailing Address - Fax:434-382-0699
Practice Address - Street 1:115 HEXHAM DR
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-3012
Practice Address - Country:US
Practice Address - Phone:434-473-7458
Practice Address - Fax:434-382-0699
Is Sole Proprietor?:No
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701011502101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health