Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUANNA JANICE LEYSATH
Active Sole ProprietorJACQUANNA JANICE LEYSATH is a Community/Behavioral Health healthcare provider located in WEST COLUMBIA, South Carolina. NPI 1104578061 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · WEST COLUMBIA, SC
Registration Details
- NPI Number
- 1104578061
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 21, 2022 (4.5854282036556 yrs)
- Last Updated
- Jan 21, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
1607 F AVEWEST COLUMBIA, SC, 291696174Browse SC providers · Browse ZIP 29169
- Phone
- 8035521102
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.