Provider Demographics
NPI:1336624154
Name:LEIGH KIM CONSULTING, LLC
Entity type:Organization
Organization Name:LEIGH KIM CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:LEIGH BAKER
Authorized Official - Last Name:BRAXTON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:779-800-9217
Mailing Address - Street 1:20 N CLARK ST STE 3600
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-5088
Mailing Address - Country:US
Mailing Address - Phone:773-800-9217
Mailing Address - Fax:
Practice Address - Street 1:20 N CLARK ST STE 3600
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-5088
Practice Address - Country:US
Practice Address - Phone:773-800-9217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty