JUSTIN LEAHY CRNP-PMH LL NPI 1316585508

NPI Information

  • NPI: 1316585508
  • Provider Name: JUSTIN LEAHY CRNP-PMH LL
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 4353 ENSBROOK LN
    WOODBRIDGE, VA
    ZIP 22193
  • Phone: (410) 562-2867

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NPI Details

JUSTIN LEAHY CRNP-PMH LL is a psychiatric/mental health nurse practitioner in Woodbridge, VA. JUSTIN LEAHY CRNP-PMH LL NPI is 1316585508. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4353 ENSBROOK LN
WOODBRIDGE, VA
ZIP 22193-652
Phone: (410) 562-2867

The provider's authorized official is Justin P Leahy .
The authorized official title is Owner and has the following contact phone number (410) 562-2867.

The enumeration date for this NPI number is 12/18/2019 and was last updated on 12/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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