Organization
DERIVE HEALTH, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN A LEAKE MD (MEDICAL DIRECTOR)
(980) 221-2689
Entity
Organization
Contact information
Practice address
2230 PARK RD STE 105, CHARLOTTE, NC 28203-6664
(980) 221-2689
Mailing address
2230 PARK RD STE 105, CHARLOTTE, NC 28203-6664
(980) 221-2689
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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