Carol Leatherman Brian, LPC
Individual provider Active NPI Professional Counselor · Many, LA
NPI 1194090472 · NPPES record last updated Mar 20, 2012
Key facts
- NPI
- 1194090472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1712 (LA)
- Practice address
- 580 Main St
Many, LA 71449-3005 - Phone
- (318) 256-6242
- Fax
- (318) 256-2064
- NPI assigned
- Mar 20, 2012
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1712 | LA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1712 | LA | Yes |
Addresses
Primary practice location
580 Main St
Many, LA 71449-3005
Mailing address
1219 Bermuda Road
Natchez, LA 71456
Phone (318) 787-8463
Other providers in Many, LA
- Bio-Medical Applications of Louisiana, LLC
- Sara Birdwell
- Haytham B. Bishara
- Drew Bost
- Lindy Branch
- Brookshire Brothers Inc
- Broussard Physical Therapy Clinic, Inc.
- James Keith Broussard
- Leah V Byles
- Chikuita Carhee
All providers in Many, 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 Mar 20, 2012. 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.