Individual provider · Type 1 NPI

Shakira Leake, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Spartanburg, SC

NPI number 1003666199 Active

Practice location

250 Dewey Ave
Spartanburg, SC 29303-3009

Mailing address

1547 Parkway
Greenwood, SC 29646-4081

Other practice locations

  • 1547 Parkway, Greenwood, SC 29646-4081 · (864) 229-7120

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X28569 (SC)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1003666199

Shakira Leake, PMHNP-BC's National Provider Identifier is 1003666199, issued on Mar 25, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Spartanburg, SC. The record was last updated on Aug 17, 2026.