Individual
ELIZABETH LEYVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHT
Contact information
Practice address
819B CENTRAL AVE, BAY ST LOUIS, MS 39520-3913
(228) 220-5454
(228) 467-8521
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1901
(601) 705-1952
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4977
MS
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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