| Doctor Name: | DEIANIRA LEACH |
| NPI Number: | 1124424874 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC, TLLP |
| License Number: | 6401008170 |
| Business Practice Address: | 2045 E West Maple Rd Ste D407 Commerce Township, MI - 483903801 |
| Business Phone Number: | 2486243812 |
| Business Fax Number: | |
| Mailing Address: | 2045 E West Maple Rd, Ste D407 COMMERCE TOWNSHIP |
| State: | MI |
| Postal Code: | 483903801 |
| Phone Number: | 2486243812 |
| Fax Number: | |
| NPI Enumeration Date: | 11/07/2014 |
| NPI Last Update Date: | 02/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401008170 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |