Provider Demographics
NPI:1801135835
Name:LEITH, DONA ANN (LPC)
Entity type:Individual
Prefix:
First Name:DONA
Middle Name:ANN
Last Name:LEITH
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 1:370 BRIARWOOD CT
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-3901
Mailing Address - Country:US
Mailing Address - Phone:404-895-8575
Mailing Address - Fax:
Practice Address - Street 1:370 BRIARWOOD CT
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-3901
Practice Address - Country:US
Practice Address - Phone:404-895-8575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional