Organization
BLEAKLEY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA BLEAKLEY (OWNER)
(985) 400-9552
Entity
Organization
Contact information
Practice address
395 SAW GRASS LOOP, COVINGTON, LA 70435-7007
(985) 400-9552
Mailing address
395 SAW GRASS LOOP, COVINGTON, LA 70435-7007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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