Individual
LEAUNTA BELLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 ST.CHARLES AVENUE, SUITE 2500, NEW ORLEANS, LA 70170
(504) 513-0216
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
222Q00000X
Developmental Therapist
—
LA
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
07/25/2016
Last updated
08/03/2020
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