Organization
NAOMI LEEDIE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI LEEDIE (OWNER/THERAPIST)
(843) 693-6254
Entity
Organization
Contact information
Practice address
9263 MEDICAL PLAZA DR STE A, NORTH CHARLESTON, SC 29406-7112
(843) 693-6254
Mailing address
2 TOWNPARK LN APT B, CHARLESTON, SC 29412-2516
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174035190
NPI
SC
Enumeration date
07/23/2019
Last updated
07/23/2019
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