Provider Demographics
NPI:1699791590
Name:ENZOR, HARRIET LEIGH (PHD)
Entity type:Individual
Prefix:MS
First Name:HARRIET
Middle Name:LEIGH
Last Name:ENZOR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 615
Mailing Address - Street 2:
Mailing Address - City:BUIES CREEK
Mailing Address - State:NC
Mailing Address - Zip Code:27506-0615
Mailing Address - Country:US
Mailing Address - Phone:910-988-5877
Mailing Address - Fax:
Practice Address - Street 1:143 MAIN STREET
Practice Address - Street 2:CAMPBELL UNIVERSITY, TAYLOR HALL, B-20
Practice Address - City:BUIES CREEK
Practice Address - State:NC
Practice Address - Zip Code:27506
Practice Address - Country:US
Practice Address - Phone:910-988-5877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102637Medicaid
NC30702OtherBCBS