Individual provider · Type 1 NPI
Pepper Leigh Martin, L.P.C.
Adult Mental Health Clinic/Center · Stuart, VA
NPI number
1255825295
Active
Practice location
338 Patrick Avenue
Stuart, VA 24171-2581
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 0701007504 (VA) |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
| Adult Mental Health Clinic/Center Primary | 261QM0850X | 0701007504 (VA) |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
About NPI 1255825295
Pepper Leigh Martin, L.P.C.'s National Provider Identifier is 1255825295, issued on Jun 21, 2018. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Stuart, VA. The record was last updated on Nov 19, 2018.