Leach, Brett D

Leach, Brett D is an individual health care provider with primary practice located at 96 Wisteria Rd , Goose Creek SC 29445-3495. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Leach, Brett D can be contacted via phone (843) 797-7871.

Contact Information

Primary practice address
96 Wisteria Rd Goose Creek SC 29445-3495
Phone: (843) 797-7871
Fax: (843) 797-8638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X 10155 South Carolina

Profile Details

NPI number 1295486629
LBN Legal business name Leach, Brett D
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2022
Last updated Dec 18th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295486629 NPPES
South Carolina MEDICAID 571048948

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