Individual provider · Type 1 NPI

Jacquanna Janice Leysath

Community/Behavioral Health Agency · West Columbia, SC

NPI number 1104578061 Active

Practice location

1607 F Ave
West Columbia, SC 29169-6174

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

About NPI 1104578061

Jacquanna Janice Leysath's National Provider Identifier is 1104578061, issued on Jan 21, 2022. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in West Columbia, SC. The record was last updated on Jan 21, 2022.