Provider Demographics
NPI:1841179561
Name:GAUMOND, LEIGH-ANNE (MSW)
Entity type:Individual
Prefix:
First Name:LEIGH-ANNE
Middle Name:
Last Name:GAUMOND
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1618 BONFORTE BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81001-1676
Mailing Address - Country:US
Mailing Address - Phone:910-212-7634
Mailing Address - Fax:
Practice Address - Street 1:5511 RAMSEY ST STE 201A
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311-1413
Practice Address - Country:US
Practice Address - Phone:910-212-7634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health