Provider Demographics
NPI:1992932990
Name:LEIGH RAYNOR& ASSOCIATES
Entity type:Organization
Organization Name:LEIGH RAYNOR& ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:C
Authorized Official - Last Name:RAYNOR
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CRC,LPC
Authorized Official - Phone:919-929-1175
Mailing Address - Street 1:1209 ROOSEVELT DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-3310
Mailing Address - Country:US
Mailing Address - Phone:919-929-1175
Mailing Address - Fax:
Practice Address - Street 1:1209 ROOSEVELT DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-3310
Practice Address - Country:US
Practice Address - Phone:919-929-1175
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4456101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty