Provider Demographics
NPI:1699598755
Name:LOY, LEIGHANN
Entity type:Individual
Prefix:
First Name:LEIGHANN
Middle Name:
Last Name:LOY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 BURKESVILLE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:KY
Mailing Address - Zip Code:42728-1900
Mailing Address - Country:US
Mailing Address - Phone:270-250-5070
Mailing Address - Fax:270-380-1711
Practice Address - Street 1:220 OFFICE PARK DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:KY
Practice Address - Zip Code:42728-1381
Practice Address - Country:US
Practice Address - Phone:270-250-5070
Practice Address - Fax:270-380-1711
Is Sole Proprietor?:No
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician