Provider Demographics
NPI:1326598707
Name:LEAKES, CURRISSIA (BA)
Entity type:Individual
Prefix:MS
First Name:CURRISSIA
Middle Name:
Last Name:LEAKES
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9885 RIGGAN DR
Mailing Address - Street 2:
Mailing Address - City:OLIVE BRANCH
Mailing Address - State:MS
Mailing Address - Zip Code:38654-5120
Mailing Address - Country:US
Mailing Address - Phone:901-574-7723
Mailing Address - Fax:
Practice Address - Street 1:9885 RIGGAN DR
Practice Address - Street 2:
Practice Address - City:OLIVE BRANCH
Practice Address - State:MS
Practice Address - Zip Code:38654-5120
Practice Address - Country:US
Practice Address - Phone:901-574-7723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)