Individual
MS. TOMEIKA SHONDALE LEAVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4509 LOUANE WAY, LOUISVILLE, KY 40216-2711
(757) 362-2421
Mailing address
4509 LOUANE WAY, LOUISVILLE, KY 40216-2711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
252888
KY
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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