# LEAH ANTUNES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1154795615
- **Gender:** F
- **Credential:** CMA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 172A00000X | Driver | 100295992 | SC | — |
| 251S00000X | Community/Behavioral Health Agency | 475267829 | SC | — |
| 251V00000X | Voluntary or Charitable Agency | 475267829 | SC | — |
| 302F00000X | Exclusive Provider Organization | 47-5267829 | SC | Yes |
| 347C00000X | Private Vehicle | 100295992 | SC | — |

## Other

- **Enumeration date:** 11/20/2015
- **Last updated:** 06/23/2016