Organization
DISCOVERING AUTHENTIC LIVING, LLC
Active
Other names
Deborah A Leighton
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH A LEIGHTON MSW, LCSW, LCAS (THERAPIST/MEMBER-MANAGED LLC)
(704) 814-9850
Entity
Organization
Contact information
Practice address
6317 S BEND LN, CHARLOTTE, NC 28277-4659
(704) 814-9850
(704) 523-6050
Mailing address
6317 S BEND LN, CHARLOTTE, NC 28277-4659
(704) 814-9850
(704) 523-6050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12169428
CAQH
NC
05
—
6003191
—
NC
01
—
PTAN 2853487
MEDICARE PROVIDER
NC
Enumeration date
04/14/2011
Last updated
04/22/2011
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