Organization
LEAVELL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY EMILY LEAVELL PHD, LPC-S (OWNER)
(985) 351-0085
Entity
Organization
Contact information
Practice address
604 W 15TH AVE, COVINGTON, LA 70433-3314
(985) 351-0085
Mailing address
906 W 9TH AVE, COVINGTON, LA 70433-2312
(985) 351-0085
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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