IndividualActive
Jeremy Leach, PHD
NPI 1154847382 · Assisted Living Facility (Mental Illness) · Staunton, VA
Provider details
- NPI number
- 1154847382
- Entity type
- Individual
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 17060000409 (VA)
Practice location
913 Bull Run
Staunton, VA 24401-1987
Phone: (540) 280-4750
Fax: (540) 887-6977
Mailing address
913 Bull Run
Staunton, VA 24401-1987
Registry dates
- Enumerated
- 2017-08-18
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.