Dallas Leonard Sr.
Individual provider Active NPI Professional Counselor · Greenwell Springs, LA
NPI 1104276971 · NPPES record last updated Jun 13, 2016
Key facts
- NPI
- 1104276971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 6639 Sullivan Rd
Greenwell Springs, LA 70739-3112 - Phone
- (225) 261-0160
- NPI assigned
- Jun 13, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
6639 Sullivan Rd
Greenwell Springs, LA 70739-3112
Mailing address
6639 Sullivan Rd
Greenwell Springs, LA 70739-3112
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All providers in Greenwell Springs, LA · Professional Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.