Provider Demographics
NPI:1427457548
Name:CONANT, LEIGH (MS, LMFT, SEP)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:
Last Name:CONANT
Suffix:
Gender:F
Credentials:MS, LMFT, SEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 BRYNN MARR RD # 158
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-5705
Mailing Address - Country:US
Mailing Address - Phone:703-740-7230
Mailing Address - Fax:
Practice Address - Street 1:216 BRYNN MARR RD # 158
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-5705
Practice Address - Country:US
Practice Address - Phone:571-408-9334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-14
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1459106H00000X
LAMFT1418106H00000X
NC20497106H00000X
VA0717001323106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist