Healthcare Provider Details

I. General information

NPI: 1831268085
Provider Name (Legal Business Name): ABBE L LEAL LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 IOWA CIR, LAREDO, TX, USA
LAREDO TX
78041
US

IV. Provider business mailing address

112 IOWA CIR, LAREDO, TX, USA
LAREDO TX
78041
US

V. Phone/Fax

Practice location:
  • Phone: 630-995-0365
  • Fax:
Mailing address:
  • Phone: 630-995-0365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number17858
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: