Provider Demographics
NPI:1174746556
Name:FEY, LEANNE SUSAN (LPC)
Entity type:Individual
Prefix:
First Name:LEANNE
Middle Name:SUSAN
Last Name:FEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 VILLAGE PKWY NE
Mailing Address - Street 2:BLDG. 5, SUITE E
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-1514
Mailing Address - Country:US
Mailing Address - Phone:770-850-0166
Mailing Address - Fax:770-850-0010
Practice Address - Street 1:141 VILLAGE PKWY NE
Practice Address - Street 2:BLDG. 5, SUITE E
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-1514
Practice Address - Country:US
Practice Address - Phone:770-850-0166
Practice Address - Fax:770-850-0010
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC002537101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional