Individual
MR. ANDREW LEEVIRT NULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. LPC
Contact information
Practice address
2901 CORPORATE CIRCLE, FLOWER MOUND, TX 75028
(940) 391-3202
Mailing address
2901 CORPORATE CIRCLE, FLOWER MOUND, TX 75028
(940) 391-3202
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
68425
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
68425
TX
101YM0800X
Mental Health Counselor
68425
TX
101YP1600X
Pastoral Counselor
68425
TX
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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