Individual
DR. LEON HARLIE STURDIVANT SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
808 MYSTIC DR, GREENSBORO, NC 27406-5726
(336) 854-1718
(336) 854-1718
Mailing address
2501 DONLORA DR, GREENSBORO, NC 27407-6015
(336) 854-1718
(336) 854-1718
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
MHL041732
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9500744861
—
NC
Enumeration date
02/26/2008
Last updated
04/26/2026
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