Individual
LEATHA UPCHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APSS, CSA, CCN
Contact information
Practice address
4321 SOUTHERN PKWY APT 202, LOUISVILLE, KY 40214-1534
(848) 335-9165
Mailing address
4321 SOUTHERN PKWY APT 202, LOUISVILLE, KY 40214-1534
(848) 335-9165
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1217075
KY
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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