MEDICARE: LEEANNA MOLINA GILARDONI LPC-A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	98713	TX
2	101YM0800X	Mental Health Counselor	98713	TX

General Provider Information

NPI Number	:	1801687157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEEANNA MOLINA GILARDONI LPC-A

Provider Business Mailing Address
First Line	:	5501 VALLEY CEDAR DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79932-4309
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5625 WOODROW BEAN STE 129
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79924-4144
Country	:	US
Telephone Number	:	915-549-8299
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2025
Last Update Date	:	05/15/2025

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