Sturdivant, Leon Harlie

Sturdivant, Leon Harlie is an sole proprietor health care provider with primary practice located at 808 Mystic Dr , Greensboro NC 27406-5726. He recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as his primary health care specialty. Sturdivant, Leon Harlie can be contacted via phone (336) 854-1718.

Contact Information

Primary practice address
808 Mystic Dr Greensboro NC 27406-5726
Phone: (336) 854-1718
Fax: (336) 854-1718
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X MHL041732 North Carolina

Profile Details

NPI number 1215106984
LBN Legal business name Sturdivant, Leon Harlie
Credentials ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2008
Last updated Feb 26th, 2008 - about 18 years ago

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 1215106984 NPPES
North Carolina MEDICAID 9500744861

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