MR. LEECHANN MCMANUS (NPI# 1679103691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679103691 |
| Entity Type | Individual |
| Full Name | MR. LEECHANN MCMANUS |
| Other Name | MR. KEDIAN DARIUS TABORN |
| Credential | EXECUTIVE DIRECTOR |
| Practice Address |
440 Charles St Statesville NC 28677-6806 |
| Practice Telephone | 7042571086 |
| Mailing Telephone | 7042571086 |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
NC | Behavioral Health & Social Service Providers |
| Street Address |
440 CHARLES ST |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28677-6806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669097853 | Heartfelt Homes of The Carolinas LLC | Foster Care Agency | 440 Charles St, Statesville, NC 28677 | 2020-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
| 1831604891 | Ingles Markets Inc | Pharmacy | 722 Sullivan Rd, Statesville, NC 28677 | 2017-12-12 |
| 1235663162 | Sandra Lorraine Scalese | Physical Therapy Assistant | 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 | 2017-04-18 |
| 1437698891 | Sherry Blevins Hager | Pharmacist | 722 Sullivan Road, Statesville, NC 28677 | 2017-02-17 |
| 1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
| 1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
| 1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
| 1215215876 | Silhouette Enterprises | Prosthetic/Orthotic Supplier | 909 Carolina Ave, Statesville, NC 28677 | 2011-08-01 |
| Find all providers in zip 28677 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671781 | Jennifer Joanne Lippel | Counselor | 117 Lone Poplar Dr, Statesville, NC 28625-5029 | 2020-08-27 |
| 1730714163 | Sandra Lourdes Mayta | Counselor | 1450 Fern Creek Drive, Statesville, NC 28625 | 2020-03-05 |
| 1598201485 | Prohealth Counseling Services LLC | Counselor | 126 Kingsgate Ct, Statesville, NC 28625-2718 | 2017-01-16 |
| 1851705446 | Vaughters Specialized Consultative Services | Counselor | 211 S Center St Ste 409, Statesville, NC 28677-5873 | 2014-06-11 |
| 1427222199 | David Dewitt Crosby Jr. | Counselor | 205 Florence Rd, Statesville, NC 28625-4711 | 2008-04-14 |
| 1831302918 | Carenet, Inc. | Counselor | 815 Davie Ave, Statesville, NC 28677-5310 | 2007-05-07 |
| 1417174640 | Stephanie Wright | Counselor | 925 Thomas St Ste E, Statesville, NC 28677 | 2007-04-19 |
| 1235271503 | Kambi Ann Swan | Counselor | 1210 Davie Ave, Statesville, NC 28677-3512 | 2007-02-13 |
| 1144366410 | Lucinda J. Hammond | Counselor | 518 Signal Hill Drive Ext, Statesville, NC 28625 | 2007-01-30 |
| 1902954027 | Jill Blackwelder | Counselor | 536 Signal Hill Drive Extension, Statesville, NC 28625 | 2007-01-08 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28677 |
Please comment or provide details below to improve the information on MR. LEECHANN MCMANUS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.